Brandon Skinner, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-169104 Issued in AL

Practice address

404 N Main St
Enterprise, AL 36330-2563

Phone

(334) 308-9797

NPI assigned

Jul 3, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

S.B.J.S. PCGroup PAC ID 8527043421, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.skinner.1@15455.direct.athenahealth.com

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.

• SBJS PC

  • Orthopaedic Surgery Physician
  • Dothan, AL
  • NPI 1134106065
  Medicare reassignment Care Compare group NPD
• S.B.J.S. PC

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
  • NPI 1972824993
  NPD
• S.B.J.S. PC

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
  • NPI 1629252499
  NPD (past)

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

• QHG of Enterprise Inc

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1083503916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 ROSE AVE",
            "city": "HARTFORD",
            "state": "AL",
            "postal_code": "363442126",
            "telephone_number": "334-726-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302563",
            "telephone_number": "334-308-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "BRANDON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-169104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Andrew Shiver, D.C.
• Jasmine Paige Shiver
• Janice Simmons, RBT
• Trenton Jay Singletary, NCC, ALC
• Katelynn Alexis Sketoe, BCBA, LBA
• Aimee Michelle Sklenicka
• Sierra Don Slay, LCSW
• Starla Renea Slay, CRNP
• Anna Jane Brown Smith, FNP-C
• Tina Nicole Smith, PTA, LMT, NCTMB

• Family Nurse Practitioner in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.