Active NPI
Mary Patricia Brandenburg, CRNP
- Nurse Practitioner
- Decatur, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-121617
- Practice address
- 303 Beltline PL SW Ste A1
Decatur, AL 35603-1716 - Phone
- (256) 539-2728
- NPI assigned
- Aug 1, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
AL
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1659306587
IL, Nurse Practitioner
-
- Primary Care Clinic/Center
- Madison, AL
- NPI 1871863050
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1205880291
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HH Health System - the Orthopaedic Center LLC
Practice addresses (Care Compare)
303 Beltline PL SW
Suite A1
Decatur, AL 35603-1716
Phone (256) 529-2728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180924002150 | AL | Practitioner - Nurse Practitioner | 0648521096 | Reassigns benefits to 1 organization |
| I20210125001221 | IL | Practitioner - Nurse Practitioner | 0648521096 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-121617 | AL | MD | Nurse Practitioner |
| 209.022541 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| Medical Services Ric | Nurse Practitioner | Current | Accepting new patients |
| The Orthopaedic Center | Current | Accepting new patients | |
| Patrick J Oneill M.D., P.C. | Current | Accepting new patients | |
| HH Health System - the Orthopaedic Center, LLC | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients |
Locations
303 Beltline Pl SW
Ste A1
Decatur, AL 35603
Phone (256) 529-2728
927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326
927 Franklin St SE
Fl 1
Huntsville, AL 35801
927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000
300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666
400 Riverside Dr
Ste 2800
Bourbonnais, IL 60914
Phone (815) 935-1100
7600 S County Line Rd
Burr Ridge, IL 60527
Phone (630) 388-6700
2757 Solution Ctr
Chicago, IL 60677
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.022541 | IL | |
| Family Nurse Practitioner | 363LF0000X | 1-121617 | AL | |
| Nurse Practitioner | 363L00000X | 1-121617 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
303 Beltline PL SW Ste A1
Decatur, AL 35603-1716
Mailing address
927 Franklin St SE
Huntsville, AL 35801-4306
Phone (256) 539-2728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 8, 2025.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1003394024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 FRANKLIN ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014306",
"telephone_number": "256-539-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 BELTLINE PL SW STE A1",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031716",
"telephone_number": "256-539-2728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDENBURG",
"first_name": "MARY",
"middle_name": "PATRICIA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-01",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.022541",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-121617",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-121617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.