Brady Burge, CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-119026 Issued in AL

Practice address

3280 Dauphin St
BLDG a 101
Mobile, AL 36606-4060

Phone

(251) 662-3737

Fax

(251) 545-3010

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Brady Hancock Former name

Medicare fee-for-service enrollment

Enrolled in AL

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aveanna Home Health Home health agency, Foley, AL, CCN 017034
• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100
• North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bhancock36134@directinfirmaryhealth.org

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.

• Imc-Diagnostic and Medical Clinic LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1447201066
  Medicare reassignment Care Compare group
• Coastal Neurological Institute P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mobile, AL
  • NPI 1740212174
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comfort Care Coastal Home Health, LLC

  • Home Health Agency
  • Foley, AL
  • NPI 1740653047
  Care Compare affiliation
• Gulf Health Hospitals, Inc

  • Family Medicine Physician
  • Bay Minette, AL
  • NPI 1154703726

  Hospital

  Care Compare affiliation
• Gulf Health Hospitals, Inc

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  • General Acute Care Hospital
  • Bay Minette, AL
  • NPI 1134164924
  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  • Gynecology Physician
  • Bay Minette, AL
  • NPI 1760717870

  Hospital

  Care Compare affiliation
• Mobile Infirmary Association

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1013347707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST",
            "address_2": "BLDG A 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-450-3700",
            "fax_number": "251-545-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST",
            "address_2": "BLDG A 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-662-3737",
            "fax_number": "251-545-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGE",
        "first_name": "BRADY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-119026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADY",
            "last_name": "HANCOCK",
            "prefix": "MISS",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Burckhartt
• Barbara A. Burckhartt, MD
• Holli Ann Burden
• Matthew Todd Burden, M.D.
• Christina Gary Burford, M.A., C.C.C.-S.L.P
• Marti Lea Burgess, RPH
• Machelle Burke, PHARMACIST
• Alexander Burkett
• Elizabeth Anderson Burkett, MD
• Jared Locke Burkett, MD

• Acute Care Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.

Verify at the official NPI Registry.