BRENDA J BURDICK (NPI# 1871532119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871532119 |
| Entity Type | Individual |
| Full Name | BRENDA J BURDICK |
| Credential | MD |
| Practice Address |
1090 Goat Springs Road Taos NM 87571-1094 |
| Mailing Address |
P O Box 310001-0670 Pasadena CA 91110-0670 |
| Practice Telephone | 5757587696 |
| Practice Fax Number | 5757515211 |
| Mailing Telephone | 5757586966 |
| Mailing Fax Number | 5757515211 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR0031180 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 31180 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4641 | AK | Allopathic & Osteopathic Physicians |
| Street Address |
1090 GOAT SPRINGS ROAD |
| City | TAOS |
| State | NM |
| Zip Code | 87571-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022562 | Brock Reed | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571-1946 | 2020-10-27 |
| 1952865776 | Regina Perryman | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1255895090 | Audrey Lujan | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1285198028 | Debra Wright | Registered Nurse | 1090 Goat Springs Road, Taos, NM 87571 | 2019-01-25 |
| 1275000887 | Erica Diane Medina | Dental Hygienist | 1090 Goat Springs Road, Taos, NM 87571 | 2018-11-01 |
| 1235410515 | Kellie Ann P Goudreau | Physician Assistant | 1090 Goat Springs Road, Taos, NM 87571 | 2011-08-31 |
| 1962712109 | Kirsten Rogoff | Marriage & Family Therapist | 1090 Goat Springs Road, Taos, NM 87571-0174 | 2010-10-20 |
| 1689995953 | Carmine Dimartino | Family Medicine | 1090 Goat Springs Road, Taos, NM 87571 | 2010-06-21 |
| 1689908147 | Talia R. Wood | Dietitian, Registered | 1090 Goat Springs Road, Taos, NM 87571-1946 | 2009-09-30 |
| 1174786925 | Lakitta Monchelle Woods-dwelle | Optometrist | 1090 Goat Springs Road, Taos, NM 87571 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
| Find all providers in zip 87571 | ||||
| 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 |
|---|---|---|---|---|
| 1275780140 | Joanna Jane Hooper | Family Medicine | 1337 Gusdorf Rd Suite O, Taos, NM 87571 | 2008-08-22 |
| 1225223399 | Arthur William Lynch IIi | Family Medicine | 98 State Highway 150, Suite 7, Taos, NM 87571-0000 | 2007-09-11 |
| 1588873749 | Happy Elizabeth Carmona | Family Medicine | Taos-picuris Indian Health Center, 16 Spider Road, Taos, NM 87571-6744 | 2007-05-22 |
| 1356398739 | Steven D Spady | Family Medicine | 1456 Santa Cruz Rd, Taos, NM 87571-6375 | 2006-05-30 |
| 1275590556 | James P Cardasis | Family Medicine | 619 Don Rosalio, Taos, NM 87571 | 2006-04-28 |
| 1205893864 | Deborah A Van Willigen | Family Medicine | 1397a Weimer Road, Holy Cross Hospital, Taos, NM 87571 | 2006-04-27 |
| 1801886023 | Kachina Medical LLC | Family Medicine | 1090 Goat Spring Rd, Taos, NM 87571 | 2005-10-27 |
| 1689667040 | Alfredo R. Vigil | Family Medicine | 1331 Gusdorf Rd, Taos, NM 87571-6282 | 2005-08-31 |
| 1578564381 | Bertrand Bassett | Family Medicine | 630 Paseo Del Pueblo Sur Ste 150, Taos, NM 87571-7002 | 2005-08-02 |
| 1679572283 | Maude E Nielsen | Family Medicine | Weimer Road, Taos, NM 87571 | 2005-07-15 |
| Find all providers in TAOS | ||||
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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.