Individual provider Active NPI

Mary Patricia Brandenburg, CRNP

  • Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1003394024
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-121617 Issued in AL
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.

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 172 clinicians

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, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1-121617ALMDNurse Practitioner
209.022541ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System Current Accepting new patients
Medical Services Ric Nurse Practitioner CurrentSince Sep 12, 2022 Accepting new patients
The Orthopaedic Center CurrentSince Aug 10, 2025 Accepting new patients
Patrick J Oneill M.D., P.C. CurrentSince Oct 15, 2018 Accepting new patients
HH Health System - the Orthopaedic Center, LLC CurrentSince Oct 14, 2025 Accepting new patients
Riverside Health System CurrentSince Jan 18, 2021 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.022541 IL
Family Nurse Practitioner 363LF0000X 1-121617 AL
Nurse Practitioner 363L00000X 1-121617 AL Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.