| Doctor Name: | BRENDA LEE BENTLEY |
| NPI Number: | 1386814523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CC HT, NLP, MBA |
| License Number: | CHT 305-180 |
| Business Practice Address: | 3949 Corrales Rd Suite 110 Corrales, NM - 870489348 |
| Business Phone Number: | 5058999333 |
| Business Fax Number: | |
| Mailing Address: | 3949 Corrales Rd, Suite 110 CORRALES |
| State: | NM |
| Postal Code: | 870489348 |
| Phone Number: | 5058999333 |
| Fax Number: | |
| NPI Enumeration Date: | 03/04/2008 |
| NPI Last Update Date: | 03/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 305S00000X |
| License Number: | CHT 305-180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Point of Service |
| Taxonomy Specialization: | |
| Taxonomy Definition: | This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |