Individual provider Active NPI

Brooke Richardson, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1043742489
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06171304 Issued in AL
Practice address
2100 Chestnut St
Montgomery, AL 36106-1113
Phone
(334) 264-3434
Fax
(334) 834-9071
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06171304 AL Primary

Addresses

Primary practice location

2100 Chestnut St
Montgomery, AL 36106-1113

Mailing address

2100 Chestnut St
Montgomery, AL 36106-1113
Phone (334) 264-3434

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
I20171009000109 AL Practitioner - Nurse Practitioner 6507017258 Reassigns benefits to 5 organizations

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
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians
John K.L. Porter, D.O., PCGroup PAC ID 3971818758, 3 clinicians

Practice addresses (Care Compare)

101 Paul Stabler Dr
Greenville, AL 36037-3133
Phone (334) 382-0734

1758 Park PL
100B
Montgomery, AL 36106-1133

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06171304ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Urgent Care LLC CurrentSince Aug 1, 2017 Accepting new patients
Vital Health and Wellness CurrentSince Aug 31, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Aug 1, 2017 Accepting new patients
American Family Care, LLC Current Accepting new patients
John K.L. Porter, D.O., PC CurrentSince Oct 1, 2024 Accepting new patients
American Family Care, LLC CurrentSince Oct 17, 2017 Accepting new patients
Paragon Contracting Services LLC CurrentSince Sep 1, 2017 Accepting new patients
American Family Care, LLC CurrentSince Oct 17, 2017 Accepting new patients
William O. Sargeant PC PastSince Jan 26, 2020 Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

101 Paul Stabler Dr
Greenville, AL 36037
Phone (334) 382-0734

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

1195 S Alabama Ave
Monroeville, AL 36460
Phone (251) 743-2560

1758 Park Pl
Ste 100
Montgomery, AL 36106
Phone (334) 265-8455

4749 Berry Blvd
Montgomery, AL 36106
Phone (334) 271-0280

2100 Chestnut St
Montgomery, AL 36106
Phone (334) 264-3434

1475 AL Highway 14 E
Selma, AL 36703
Phone (334) 430-1799

1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100

1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000

Organizations & group practices 9

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1043742489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061113",
            "telephone_number": "334-264-3434",
            "fax_number": "334-834-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CHESTNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061113",
            "telephone_number": "334-264-3434",
            "fax_number": "334-834-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "BROOKE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F06171304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.