Individual provider Active NPI

Brandi N Creel, APN-C

  • Nurse Practitioner
  • Florence, AL
National Provider Identifier
1184933483
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-113838 Issued in AL
Practice address
180 Cox Creek Pkwy S Ste B
Florence, AL 35630-3263
Phone
(256) 760-0422
Fax
(256) 284-6065
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-113838 AL Primary

Addresses

Primary practice location

180 Cox Creek Pkwy S Ste B
Florence, AL 35630-3263

Mailing address

PO Box 18428
Huntsville, AL 35804-8428
Phone (256) 705-4224

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
I20110222000722 AL Practitioner - Nurse Practitioner 1759562903 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-113838ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Specialties, P.C. CurrentSince Apr 20, 2020 Accepting new patients
Ecm TVCC LLC CurrentSince Feb 23, 2016 Accepting new patients
The Lung Center, PC PastSince Jun 14, 2020 Accepting new patients
Express Med of Alabama LLC Past Accepting new patients
Lister Healthcare Corporation Past Accepting new patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients

Locations

541 W College St
Ste 1100
Florence, AL 35630
Phone (256) 766-2118

180 Cox Creek Pkwy S
Ste B
Florence, AL 35630
Phone (256) 760-0422

1751 Veterans Dr
Ste 200
Florence, AL 35630
Phone (256) 766-2118

2129 Helton Dr
Florence, AL 35630
Phone (256) 718-3200

3601 Cci Dr NW
Huntsville, AL 35805
Phone (256) 539-3824

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1184933483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18428",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048428",
            "telephone_number": "256-705-4224",
            "fax_number": "256-705-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 COX CREEK PKWY S STE B",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356303263",
            "telephone_number": "256-760-0422",
            "fax_number": "256-284-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREEL",
        "first_name": "BRANDI",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-113838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.