Active NPI
Brandi Lynn Berland, R.D.H.
- Dental Hygienist
- Evanston, IL
National Provider Identifier
1992024566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 9824-016
- Practice address
- 1029 Howard St
Evanston, IL 60202-3877 - Phone
- (847) 491-0660
- NPI assigned
- May 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 9824-016 | WI | Primary |
Addresses
Primary practice location
1029 Howard St
Evanston, IL 60202-3877
Mailing address
11216 61St St
Kenosha, WI 53142-7261
Phone (262) 764-5237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9824-016 | WI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandi Berland R.D.H., LTD | Dental Hygienist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Hygienist
- Kenosha, WI
- NPI 1659613115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274400000000",
"number": "1992024566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11216 61ST ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531427261",
"telephone_number": "262-764-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 HOWARD ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023877",
"telephone_number": "847-491-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLAND",
"first_name": "BRANDI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "R.D.H.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-21",
"last_updated": "2010-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WI",
"license": "9824-016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.