Brandie Weidman, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-099055 Issued in AL

Practice address

2800 Greystone Commercial Blvd
Suite 2B
Birmingham, AL 35242-2667

Phone

(205) 263-5089

NPI assigned

Jul 18, 2014

Sex

Female

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Care Internal Medicine PCGroup PAC ID 2668642794, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southern Care Internal Medicine PC

  • Internal Medicine Physician
  • Hoover, AL
  • NPI 1881972073
  Medicare reassignment Care Compare group NPD
• Affinity Cardiovascular Specialists LLC

  • Cardiovascular Disease Physician
  • Birmingham, AL
  • NPI 1215305925
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1184031346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GREYSTONE COMMERCIAL BLVD",
            "address_2": "SUITE 2B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422667",
            "telephone_number": "205-263-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GREYSTONE COMMERCIAL BLVD",
            "address_2": "SUITE 2B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422667",
            "telephone_number": "205-263-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDMAN",
        "first_name": "BRANDIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-099055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kenneth Weese, D.M.D.
• Benjamin Wei, MD
• Ruoting Wei
• Shi Wei
• Therese Faustina Marie Weidenkopf, MD
• Samuel Jovian Weigel, M.D.
• Rebekah Weil
• Gregory Weiland, PT
• Virginia Riser Weinacker
• Lauren Weiner

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, 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 18, 2014; 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.