Brenda Kerbel

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

45420 Issued in MA

Practice address

548 Mount Auburn St
Watertown, MA 02472-4122

Phone

(617) 923-1040

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Brenda Kerbel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982806451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LAURUS LN",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024593138",
            "telephone_number": "617-332-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 MOUNT AUBURN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724122",
            "telephone_number": "617-923-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBEL",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MA",
            "license": "45420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS LICENSE",
            "identifier": "45420",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "KERBEL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Naomi M Kelly, CCC SLP
• Trevor Kelly, DPT
• Kennedy Brothers Physical Therapy Inc.
• Michael P. Kenney, PT
• Kensington Therapeutic, LLC
• Richard John Kerbel, M.D.
• Rosetta Kerio
• Barry H Kesselman, MED,LMHC
• Marianne Khoury, M.D.
• Erin Kim, LMFT

• Pediatric Adolescent Medicine Physician in Watertown, MA
• Providers in Watertown, MA by specialty
• Pediatric Adolescent Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.