Active NPI
Madelyn Bryan Brandl, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 202759
- Practice address
- 1825 N 18TH St
Monroe, LA 71201-4420 - Phone
- (318) 322-7999
- Fax
- (318) 737-7471
- NPI assigned
- Feb 15, 2024
- Last updated
- Oct 18, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202759 | LA | Primary |
Addresses
Primary practice location
1825 N 18TH St
Monroe, LA 71201-4420
Mailing address
PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887
Other practice location 1
200 Greenbriar Dr
West Monroe, LA 71291-8163
Phone (318) 376-5570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202759 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Community Medical Centers, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Morehouse Community Medical Centers, Inc. | Current | Accepting new patients | |
| Morehouse Community Medical Centers, Inc. | Current | Accepting new patients | |
| Morehouse Community Medical Centers, Inc | Past | Accepting new patients |
Locations
1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422
314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045
402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3857
501 Durham St
Bastrop, LA 71220
Phone (318) 281-2008
518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333
4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068
1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550
335 Main St
Marion, LA 71260
Phone (318) 292-2795
108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010
1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999
681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140
801 Stubbs Ave
Ste C
Monroe, LA 71201
Phone (318) 509-8172
100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973
201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771
420 Wheelis St
West Monroe, LA 71292
Phone (318) 362-5558
Interoperability endpoints
- https://api.platform.athenahealth.com/11502/brand/1/csg/1/fhir/r4
- madelyn.brandl.1@11502.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CommuniHealth Services
- Family Medicine Physician
- Bastrop, LA
- NPI 1053373191
Nurse Practitioner
-
dba CommuniHealth Services Miller Roy Clinic
- Federally Qualified Health Center (FQHC)
- Monroe, LA
- NPI 1114740438
-
dba CommuniHealth Services Mer Rouge Family Practice and Behavioral Health Center
- Federally Qualified Health Center (FQHC)
- Mer Rouge, LA
- NPI 1235468349
-
dba CommuniHealth Services Riser Middle School Based Health Center
- Federally Qualified Health Center (FQHC)
- West Monroe, LA
- NPI 1073993580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1013772342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 792",
"city": "BASTROP",
"state": "LA",
"postal_code": "712210792",
"telephone_number": "318-283-8887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 N 18TH ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712014420",
"telephone_number": "318-322-7999",
"fax_number": "318-737-7471"
}
],
"practiceLocations": [
{
"address_1": "200 Greenbriar Dr",
"address_purpose": "LOCATION",
"city": "West Monroe",
"state": "LA",
"postal_code": "712918163",
"country_code": "US",
"telephone_number": "318-376-5570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDL",
"first_name": "MADELYN",
"middle_name": "BRYAN",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "202759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.