Brea Martin

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

4366 Midmost Dr Ste E
Mobile, AL 36609-5524

Phone

(251) 279-0421

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1104508266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 MIDMOST DR STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095524",
            "telephone_number": "251-279-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4366 MIDMOST DR STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366095524",
            "telephone_number": "251-279-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BREA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "rnbmedicalprovider@gmail.com",
            "affiliation": "N",
            "address_1": "4366 Midmost Dr Ste E",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366095524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Buffy Ann Marston, LPC
• Jon David Marston, CRNA
• Martha L Sullins Dmin LPC PC
• Abigail Lynn Martin
• Ardenne Martin, MD
• Brett Samuel Martin, MD
• C. Allen Martin Jr., DMD
• Caira Martin
• David Davis Martin III, DMD
• Devan Lee Martin

• Prosthetic/Orthotic Supplier in Mobile, AL
• Providers in Mobile, AL by specialty
• Prosthetic/Orthotic Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.