BRENDA LA MD
NPI 1801599873
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 27, 2023PECOS Enrolled

12631 E 17TH AVE, AURORA, CO 80045(303) 724-6595 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Brenda La Md NPPES

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

BRENDA LA MD (NPI 1801599873) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801599873

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBRENDA LACredential: MD

Location Address12631 E 17TH AVEAurora, CO 80045-2527

Mailing Address12631 E 17th AveAurora, CO 80045-2527 · (303) 724-6595

Phone(303) 724-6595

Sole ProprietorNo

Enumeration DateMarch 27, 2023

NPPES CertifiedMarch 26, 2023

✔ NPI 1801599873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

12631 E 17TH AVE, Aurora, CO 80045

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenda La Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.