BRENDAN THELEN MD
NPI 1033405105
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
2315 STOCKTON BLVD # OP512, SACRAMENTO, CA 95817(916) 734-2724 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brendan Thelen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDAN THELEN MD (NPI 1033405105) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2011).

NPPES Registry Identity

NPI1033405105
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRENDAN THELENCredential: MD
Location Address2315 STOCKTON BLVD # OP512Sacramento, CA 95817-2201
Mailing Address2315 Stockton Blvd # Op512Sacramento, CA 95817-2201 · (916) 734-2724
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateFebruary 11, 2022
NPI 1033405105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2315 STOCKTON BLVD # OP512, Sacramento, CA 95817

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brendan Thelen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597981928
PECOS Enrollment IDI20161215001593
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology (Pediatric Urology)
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817
Urology
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817
Anesthesiology
2315 STOCKTON BLVD # OP512
SACRAMENTO, CA 95817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brendan Thelen's NPI number?

The NPI number for Brendan Thelen is 1033405105. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Brendan Thelen located?

Brendan Thelen practices at 2315 Stockton Blvd # Op512, Sacramento, CA 95817. The listed phone number is (916) 734-2724.

What is Brendan Thelen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brendan Thelen enrolled in Medicare?

Yes. Brendan Thelen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brendan Thelen was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.