DR. BRENDA PEDRAZA (NPI# 1356530711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356530711 |
| Entity Type | Individual |
| Full Name | DR. BRENDA PEDRAZA |
| Credential | PSY.D |
| Practice Address |
117 La Bonneville Rd Fort Bragg NC 28307-3412 |
| Practice Telephone | 9109600600 |
| Mailing Telephone | 9109600600 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2774 | PR | Behavioral Health & Social Service Providers |
| Street Address |
117 LA BONNEVILLE RD |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28307-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498631 | Jaclyn Jennifer Willis | Dentist | Ardennes Street, Fort Bragg, NC 28307 | 2020-08-21 |
| 1003398850 | Bailey Moorhead | Dentist | Bldg C-6238 Ardennes Road, Fort Bragg, NC 28307 | 2018-08-29 |
| 1619454980 | Seth David Williams | Physician Assistant | Bldg C-1722 Tagatay Dr, Fort Bragg, NC 28307 | 2018-07-19 |
| 1134633894 | Ashley Andrick | Physician Assistant | 1722 Tagatay Dr, Fort Bragg, NC 28307 | 2017-11-16 |
| 1184144479 | Thomas William Hanna IIi | Dentist | Bldg C-6238 Ardennes St., Fort Bragg, NC 28307 | 2017-06-27 |
| 1720530355 | Robert Holly | Military Health Care Provider | 7606 Reilly Rd, Bldg 2, Fort Bragg, NC 28307 | 2016-10-31 |
| 1891246708 | Womack Army Medical Center | Pharmacy | 1571 Reilly Rd, Bldg 4, Ft Bragg, NC 28307 | 2016-10-17 |
| 1710319405 | Valerie D. Jefferys | Pharmacist | 2817 Reily Road Womack Army Medical Center, Apo, AE 28307 | 2013-08-05 |
| 1689976367 | Komkwuan Pholtavee Paruchabutr | Registered Nurse | Building 4-2817 Reilly Road, Fort Bragg, NC 28307 | 2010-12-01 |
| 1609032879 | Kristi Lyn Natalino | Physical Therapist | 2817 Reilly Rd Bldg 4, Physical Therapy Department, Fort Bragg, NC 28307 | 2008-08-06 |
| Find all providers in zip 28307 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740593441 | Patrick Evan Callahan | Psychologist | Hhd 1st Special Warfare Training Group, Building D-2609, Ardennes Street, Fort Bragg, NC 28310-0001 | 2010-07-22 |
| 1487828620 | Phillip James Atkinson | Psychologist | D-2004 Marion Street, Directorate of Psychological Applications, Fort Bragg, NC 28310-5200 | 2008-04-18 |
| 1902994056 | Bruce Addison Moyer | Psychologist | D-2004 Marion St, Psychological Applications Directorate, Fort Bragg, NC 28310-0001 | 2006-10-11 |
| 1366415937 | Louie Morgan Banks IIi | Psychologist | Bldg D-2004, Fort Bragg, NC 28310 | 2006-02-13 |
| 1164064739 | Jennifer Anne Barry | Psychologist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2019-10-15 |
| 1679035000 | Cassandra Schimsa | Psychologist | 2817 Reilly St Bldg 4-3219, Fort Bragg, NC 28310-7324 | 2019-04-04 |
| 1992263982 | Geney Ann Hammett | Psychologist | 2817 Reilly Rd., Fort Bragg, NC 28310 | 2019-03-08 |
| 1326506734 | Brandi Marie Walker | Psychologist | 2817 Reilly St Bldg 4-3219, Fort Bragg, NC 28310-7324 | 2019-03-05 |
| 1255840302 | Amy Henninger | Psychologist | 2817 Reilly St, Fort Bragg, NC 28310-1000 | 2017-09-20 |
| 1043734833 | Lauren Day | Psychologist | 2817 Reilly St, Fort Bragg, NC 28310-7324 | 2017-08-02 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28307 |
Please comment or provide details below to improve the information on DR. BRENDA PEDRAZA.
| 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.