BRENDA BIRD – Physician Assistant, NPI 1942933148

BRENDA BIRD is a healthcare provider. based in Madison, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold a License No. 218791-30 (WI). The NPI Number for BRENDA BIRD is 1942933148

Main info

Female
Sole Proprietor
3 Years Of Experience
Name
BRENDA BIRD
NPI
1942933148
Phone
(608) 713-9898
Address
5100 Eastpark Blvd
Enumeration Date
5 July 2022
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
4587019104
Group Practice PAC ID
6103131776
Professional Enrollment ID
I20231017000681
Address ID
WI537191048MA6515XPLZX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:3State licenses:2Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for BRENDA BIRD

  • 5100 Eastpark Blvd

    Madison, WI 537182149

    Phone: (608) 713-9898

    Fax: (608) 713-9647

    Type: Location

  • 154 GRANDVIEW CT

    EDGERTON, WI 535349383

    Phone:

    Type: Mailing

  • 6515 GRAND TETON PLZ

    MADISON, WI 537191048

    Phone: (608) 713-9898

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $525.

Total Amount is formed as General ($525) + Research ($0) + Ownership ($0) = $525.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($219).

Total Amount

$525

General + Research + Ownership

Payments

27

Total payment records

General Amount

$525

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231017000681IPhysician AssistantWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53718)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103131776View full group profile
NameSpecialtyState
Nurse PractitionerWI
Physician AssistantWI
Nurse PractitionerWI
P S Y C H I A T R YWI
Physician AssistantWI
Physician AssistantWI
Physician AssistantWI

Reviews

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Frequently asked questions

Is BRENDA BIRD listed with a National Provider Identifier?
Yes — BRENDA BIRD has NPI 1942933148 on file in the registry.
Is BRENDA BIRD shown as active in public data?
Registry records indicate BRENDA BIRD maintains an active NPI.
How would a patient describe BRENDA BIRD's focus?
For BRENDA BIRD, the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRENDA BIRD?
Travel planning: use Madison, Wisconsin as the reference point for BRENDA BIRD, then confirm.
When was this NPI issued?
Enumeration for BRENDA BIRD is noted as July 5, 2022 where the registry provides it.

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