LLOYD D BRENDEN MD PC (NPI# 1073522736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073522736 |
Entity Type | Organization |
Organization Name | LLOYD D BRENDEN MD PC |
Practice Address |
7525 E Broadway Rd Suite 10 Mesa AZ 85208-2002 |
Practice Telephone | 4809859492 |
Practice Fax Number | 4809859771 |
Mailing Telephone | 4809859492 |
Mailing Fax Number | 4809859771 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2019-10-01 |
Authorized Official Name | LLOYD D BRENDEN (PRESIDENT) |
Authorized Official Telephone | 4809859492 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | RAIL ROAD MEDICARE | 070002291 | 01 |
Street Address |
7525 E BROADWAY RD SUITE 10 |
City | MESA |
State | AZ |
Zip Code | 85208-2002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629073374 | Philip Gabriel Hilcove | Specialist | 7525 E Broadway Rd, Suite 10, Mesa, AZ 85208-2002 | 2005-06-18 |
1679020929 | Christopher Crain | Physical Therapist | 7525 E Broadway Rd, Suite 6, Mesa, AZ 85208-2002 | 2016-09-03 |
1508259094 | Amita Patel | Physical Therapist | 7525 E Broadway Rd, Suite 6, Mesa, AZ 85208-2002 | 2015-03-09 |
1871993659 | On The Mend On The Move Physical Therapy | Physical Therapist | 7525 E Broadway Rd, #6, Mesa, AZ 85208-2002 | 2014-08-28 |
1235556184 | Philip G Hilcove Md LLC | Internal Medicine | 7525 E Broadway Rd, Suite 10, Mesa, AZ 85208-2002 | 2014-03-27 |
1972857001 | Laura Ruth Starr | Physical Therapist | 7525 E Broadway Rd, Suite 6, Mesa, AZ 85208-2002 | 2012-10-26 |
1295968394 | Philip G Hilcove Md LLC | Internal Medicine | 7525 E Broadway Rd, Suite 10, Mesa, AZ 85208-2002 | 2009-08-24 |
1649456914 | Martin H Rubin Md Pllc | Internal Medicine | 7525 E Broadway Rd, Suite #1, Mesa, AZ 85208-2002 | 2008-01-16 |
1316058936 | Alan D Wamboldt Md Pllc | Orthopaedic Surgery | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85208-2002 | 2006-08-31 |
1013932870 | Robert P Tully | Internal Medicine | 7525 E Broadway Rd, Ste 2, Mesa, AZ 85208-1154 | 2006-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588203723 | Southwest Cardiovascular Interventional Center, LLC | Clinic/Center | 7529 E Broadway, Mesa, AZ 85208 | 2020-01-06 |
1760021802 | Southwest Endovascular Center, LLC | Clinic/Center | 7529 E Broadway Rd, Mesa, AZ 85208 | 2020-01-06 |
1083116529 | Hailey Jo Kools | Specialist/Technologist | 11201 N Tatum Boulevard, Phoenix, AZ 85208 | 2018-03-01 |
1356881486 | Amber E Anderson | Nurse Practitioner | 1157 S Crismon Rd Ste 101, Mesa, AZ 85208 | 2017-03-08 |
1609264464 | Desert House Assisted Living LLC | Assisted Living Facility | 11055 E Grove St, Mesa, AZ 85208 | 2015-01-02 |
1366881872 | Freedom Az, LLC | Non-emergency Medical Transport (VAN) | 10682 E Oasis Dr, Mesa, AZ 85208 | 2013-06-18 |
1588922884 | Aaron David Hallstrom | Counselor | 158 S Hassett Cir, Mesa, AZ 85208 | 2012-04-25 |
1568604593 | David Berrey | Internal Medicine | 1917 South Crismon Rd., Mesa, AZ 85208 | 2009-04-06 |
1740475946 | Jackton Simiyu Khausi | Occupational Therapist | 7255 E Broadway, Mesa, AZ 85208 | 2007-09-11 |
1881896900 | Kate N Mullowney | Pharmacist | 10238 E Hampton Avenue, Suite 107, Mesa, AZ 85208 | 2007-06-01 |
Find all providers in zip 85208 |
Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548779713 | Ryan Kirk Bingham | Dermatology | 2855 E Brown Rd Ste 22, Mesa, AZ 85213-4216 | 2017-09-20 |
1659829109 | Arizona Skin and Laser Therapy Institute, Ltd | Dermatology | 6644 E Baseline Rd, Mesa, AZ 85206-4438 | 2016-09-13 |
1659630713 | Robert Anderton | Dermatology | 4318 N Desert Oasis Cir, Mesa, AZ 85207-7246 | 2012-05-10 |
1962729160 | Chao Li | Dermatology | 6832 E Brown Rd, Mesa, AZ 85207 | 2010-04-27 |
1083841225 | Daniel Peterson Skinner Jr. | Dermatology | 2050 W Southern Ave Ste 102, Mesa, AZ 85202-4702 | 2009-06-15 |
1679685614 | Robert David Griego | Dermatology | 2250 W Southern, 102, Mesa, AZ 85202 | 2006-08-31 |
1770699134 | Zeena Irene Ubogy | Dermatology | 2150 S Dobson Road, Ste #1, Mesa, AZ 85202 | 2006-08-21 |
1053368134 | Alvin R. Fulkerson | Dermatology | 1242 E Mckellips Rd, Ste 103, Mesa, AZ 85203-2763 | 2006-05-27 |
1568416790 | Rcdc of Mesa Plc | Dermatology | 2158 N Gilbert Rd, Suite 121a, Mesa, AZ 85203-2109 | 2006-05-20 |
1851340467 | Jayshri Gamoth | Dermatology | 4540 E Baseline Rd Ste 109, Mesa, AZ 85206-4616 | 2006-05-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.