BRENDA MEDINA NPI 1962995597

NPI Information

  • NPI: 1962995597
  • Provider Name: BRENDA MEDINA
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14804 S SPRING RIDGE CIR
    BALCH SPRINGS, TX
    ZIP 75180
  • Phone: (214) 624-2092

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NPI Details

Brenda Medina is a family nurse practitioner in Balch Springs, TX. Brenda Medina NPI is 1962995597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14804 S SPRING RIDGE CIR
BALCH SPRINGS, TX
ZIP 75180-315
Phone: (214) 624-2092

The NPI 1962995597 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2018 and was last updated on 9/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily1000174TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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