Individual provider Active NPI

Bridget Bordelon Crain, NP

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1033660113
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
901815 Issued in MS
Practice address
817 Princeton Ave SW Ste 199
Birmingham, AL 35211-1350
Phone
(205) 788-7244
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 901815 MS Primary

Addresses

Primary practice location

817 Princeton Ave SW Ste 199
Birmingham, AL 35211-1350

Mailing address

1130 22ND St S
Ste 1000
Birmingham, AL 35205-2881
Phone (205) 715-5198

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180917001564 AL Practitioner - Nurse Practitioner 9638450562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STV Pulmonary Group LLCGroup PAC ID 1355616400, 26 clinicians

Practice addresses (Care Compare)

2660 10TH Ave S
Suite 528
Birmingham, AL 35205-1625
Phone (205) 933-9258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as group
Quality
100
Promoting interoperability
99
Improvement activities
40
Cost
80.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers, LLC CurrentSince Jul 7, 2018 Accepting new patients
Baptist Health Centers LLC CurrentSince Jul 7, 2018 Accepting new patients
STV Pulmonary Group LLC CurrentSince Oct 26, 2020 Accepting new patients

Locations

2660 10th Ave S
Ste 528
Birmingham, AL 35205
Phone (205) 933-9258

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

800 Saint Vincents Dr
Ste 600
Birmingham, AL 35205
Phone (205) 271-1600

801 Princton Ave SW
Ste 332
Birmingham, AL 35211
Phone (205) 780-0084

817 Princeton Ave SW
Ste 199
Birmingham, AL 35211
Phone (205) 780-1920

7191 Cahaba Valley Rd
Ste 200
Hoover, AL 35242
Phone (204) 408-9787

Interoperability endpoints

  • Direct secure messaging: bridget.crain.p1@direct.birminghampulm.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1033660113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 22ND ST S",
            "address_2": "STE 1000",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052881",
            "telephone_number": "205-715-5198",
            "fax_number": "205-715-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW STE 199",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111350",
            "telephone_number": "205-788-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIN",
        "first_name": "BRIDGET",
        "middle_name": "BORDELON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "901815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.