Healthcare Provider Details

I. General information

NPI: 1467356527
Provider Name (Legal Business Name): BRENDA CAPERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9596 ALABAMA CT
SEMMES AL
36575-5555
US

IV. Provider business mailing address

9596 ALABAMA CT
SEMMES AL
36575-5555
US

V. Phone/Fax

Practice location:
  • Phone: 251-654-8490
  • Fax:
Mailing address:
  • Phone: 251-654-8490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number923267
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: