Healthcare Provider Details

I. General information

NPI: 1386271997
Provider Name (Legal Business Name): BRENNA MAE BECK MD, MED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 S MASON ST
HARRISONBURG VA
22807-1050
US

IV. Provider business mailing address

724 S MASON ST
HARRISONBURG VA
22807-1050
US

V. Phone/Fax

Practice location:
  • Phone: 540-568-6178
  • Fax:
Mailing address:
  • Phone: 540-568-6178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101284611
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: