BRENDA LOUISE WILCOX ABRAHAM (NPI# 1255302642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255302642 |
| Entity Type | Individual |
| Full Name | BRENDA LOUISE WILCOX ABRAHAM |
| Other Name | BRENDA LOUISE WILCOX |
| Credential | MD |
| Practice Address |
2500 Como Avenue St Paul MN 55108-1460 |
| Practice Telephone | 6516416200 |
| Practice Fax Number | 6516416205 |
| Mailing Telephone | 6516416200 |
| Mailing Fax Number | 6516416205 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 33664 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 384378500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745558 | Brenda Lee Abraham | Nurse Practitioner | 2512 Wheaton Way Ste A, Bremerton, WA 98310-3303 | 2005-10-28 |
| Street Address |
2500 COMO AVENUE |
| City | ST PAUL |
| State | MN |
| Zip Code | 55108-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205806254 | Rae Ann Williams | Internal Medicine | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-01-24 |
| 1881858439 | Marifel M Fernandez | Family Medicine | 2500 Como Avenue, Ms 31100a - Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2008-07-14 |
| 1467596148 | Poornima K Kavathekar | Pediatrics | 2500 Como Avenue, Mail Stop 31100a - Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2007-02-16 |
| 1457370918 | Paulose S John | Family Medicine | 2500 Como Avenue, Ms31100a Healthpartners Como Clinic, St Paul, MN 55108-1460 | 2006-07-18 |
| 1184691545 | Diane Cross | Nurse Practitioner | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-03-03 |
| 1891761367 | Mary Jane Krebs Turnbull | Nurse Practitioner | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-24 |
| 1073588273 | Laurel E Cederberg | Pediatrics | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-21 |
| 1407820251 | Bernt R Christianson | Audiologist | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-16 |
| 1124090295 | Janet Carol Hubbell | Pediatrics | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-03 |
| 1306818596 | Sylvia M Sekhon | Pediatrics | 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108-1460 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490677 | Kyle Leonard Bernier | Student in an Organized Health Care Education/Training Program | 1295 Bandana Blvd W, Suite 210, St. Paul, MN 55108 | 2019-07-25 |
| 1356870778 | Kathleen Louise Kocon | Marriage & Family Therapist | 2230 Como Ave., Saint Paul, MN 55108 | 2017-06-08 |
| 1871965830 | Jill Hansen | Specialist | 1449 Clevland Ave N, The Emily Program, Saint Paul, MN 55108 | 2015-10-29 |
| 1871821140 | Angela Joyce Anderson | Speech-Language Pathologist | 2266 Hillside Avenue, Saint Paul, MN 55108 | 2009-11-25 |
| 1265769418 | Dakota Baker | Counselor | 1360 Energy Park Drive Suite 340, St. Paul, MN 55108 | 2009-11-09 |
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1982851358 | Kimberly Joy Bahma | Pharmacist | 1295 Bandana Blvd, Suite 335, Saint Paul, MN 55108 | 2008-08-27 |
| 1952566093 | Caring Professionals Homecare, LLC | Home Health | 1543 Como Ave Ste 101, Saint Paul, MN 55108 | 2008-07-28 |
| 1700077344 | Archana Mani | Dentist | 1021 Bandana Blvd E Ste 121, Saint Paul, MN 55108 | 2007-08-08 |
| 1457554735 | Catherine Lawrence Scharlau | Psychologist | 1295 Bandana Blvd. North, Aspen Medical Group-behavioral Health, St. Paul, MN 55108 | 2007-06-06 |
| Find all providers in zip 55108 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1659675593 | Marianito Sia Chua | Family Medicine | 1280 Belmont W Ln, St Paul, MN 55113 | 2011-01-07 |
| 1053447540 | Robert Frederick Campbell | Family Medicine | 3m Center Building 220 6w 08, St Paul, MN 55144 | 2007-02-26 |
| 1538233788 | Nancy E Sydnam | Family Medicine | St Paul Health Center, 1990 Polovenia Turnpike, St Paul, AK 99660 | 2006-11-20 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1831100072 | East Metro Family Practice Pa | Family Medicine | 2025 Sloan Place, Suite 35, St Paul, MN 55117 | 2006-08-11 |
| 1134130149 | Denise M Lewis | Family Medicine | 1540 Randolph Avenue, St Paul, MN 55105 | 2006-08-11 |
| 1568473536 | Ellen R Stubbs | Family Medicine | 911 East Maryland Avenue, St Paul, MN 55106 | 2006-08-11 |
| 1316956162 | Shana L Sniffen | Family Medicine | 1983 Sloan Place, Suite 1, St Paul, MN 55117 | 2006-08-07 |
| 1922071489 | Guy P Runkle | Family Medicine | 1026 W 7th Street, St Paul, MN 55102-3007 | 2006-02-07 |
| Find all providers in ST PAUL | ||||
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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.