Individual provider Active NPI

Brittany Charlene Wickware, CRNP

  • Adult Health Nurse Practitioner
  • Daphne, AL
National Provider Identifier
1053802926
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-127339 Issued in AL
Practice address
28490 2ND St Ste B
Daphne, AL 36526-7150
Phone
(251) 308-9800
Fax
(877) 413-5104
NPI assigned
May 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-127339 AL
Adult Health Nurse Practitioner 363LA2200X APRN11000136 FL
Adult Health Nurse Practitioner 363LA2200X 1-127339 AL Primary

Addresses

Primary practice location

28490 2ND St Ste B
Daphne, AL 36526-7150

Mailing address

30417 Pinyon Dr
Spanish Fort, AL 36527-8727
Phone (251) 233-1075

Other practice location 1

10040 County Road 48
Fairhope, AL 36532-4520
Phone (251) 220-6780

Other practice location 2

4457 Bayou Blvd
Pensacola, FL 32503-2601
Phone (850) 226-6801

Other practice location 3

900 Montlimar Dr
Mobile, AL 36609-1705
Phone (251) 343-5263

Other practice location 4

5235 Rangeline Service Rd S
Mobile, AL 36619-9541
Phone (251) 220-7281

Other practice location 5

6631 Park Dr
Daphne, AL 36526-5227
Phone (251) 626-5703

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
I20180815002035 AL Practitioner - Nurse Practitioner 5991054520 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3715 Dauphin St
Suite 7a
Mobile, AL 36608-1775
Phone (251) 410-4001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11000136FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Jun 14, 2019 Accepting new patients
Foley Family Practice Management CurrentSince Mar 1, 2025 Accepting new patients
American Family Care, LLC Current Accepting new patients
Springhill Physician Practices, Inc CurrentSince Oct 16, 2025 Accepting new patients
The Orthopaedic Group, P.C. CurrentSince Jun 23, 2018 Accepting new patients
Anesthesia Health Consultants CurrentSince Jan 26, 2020 Accepting new patients
Signify Health, LLC CurrentSince Dec 7, 2021 Accepting new patients
Inpatient Consultants of Alabama, Inc CurrentSince Mar 1, 2024 Accepting new patients
Springhill Physician Practices, Inc CurrentSince Oct 16, 2025 Accepting new patients
The Orthopaedic Group, PC CurrentSince Jun 23, 2018 Accepting new patients
American Family Care, LLC CurrentSince Jun 14, 2019 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

28490 2nd St
Ste B
Daphne, AL 36526
Phone (251) 308-9800

6631 Park Dr
Daphne, AL 36526
Phone (251) 626-5700

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

205 W Orange Ave
Foley, AL 36535
Phone (251) 424-4244

1711 N McKenzie St
Foley, AL 36535
Phone (251) 476-5050

1680 Montgomery Hwy
Hoover, AL 35216
Phone (205) 979-0888

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

3715 Dauphin St
Ste 7A
Mobile, AL 36608
Phone (251) 410-4001

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

1924K Dauphin Island Pkwy
Mobile, AL 36605
Phone (251) 308-9800

3719 Dauphin St
Mobile, AL 36608
Phone (251) 342-3000

1000A Cody Rd S
Mobile, AL 36695
Phone (251) 340-7942

3632 Dauphin St
Ste 101B
Mobile, AL 36608
Phone (251) 460-5280

900 Montlimar Dr
Mobile, AL 36609
Phone (251) 343-5263

210 S Main St
Crestview, FL 32536
Phone (850) 306-3433

4457 Bayou Blvd
Pensacola, FL 32503
Phone (504) 842-4851

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: bwickware@tog1813.srs-direct.com

Organizations & group practices 11

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": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1053802926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30417 PINYON DR",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278727",
            "telephone_number": "251-233-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28490 2ND ST STE B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267150",
            "telephone_number": "251-308-9800",
            "fax_number": "877-413-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10040 County Road 48",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365324520",
            "country_code": "US",
            "telephone_number": "251-220-6780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4457 Bayou Blvd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032601",
            "country_code": "US",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Montlimar Dr",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366091705",
            "country_code": "US",
            "telephone_number": "251-343-5263",
            "fax_number": "251-344-5348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5235 Rangeline Service Rd S",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366199541",
            "country_code": "US",
            "telephone_number": "251-220-7281",
            "fax_number": "251-544-6440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6631 Park Dr",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365265227",
            "country_code": "US",
            "telephone_number": "251-626-5703",
            "fax_number": "251-626-5703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICKWARE",
        "first_name": "BRITTANY",
        "middle_name": "CHARLENE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-127339",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11000136",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-127339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.