Individual provider Active NPI

Brendella Turnbow Montgomery, M.D.

  • Family Medicine Physician
  • Madison, AL
National Provider Identifier
1194755827
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00017420 Issued in AL
Practice address
139 Kensington Dr
Madison, AL 35758-7845
Phone
(256) 325-3854
NPI assigned
Jul 5, 2006
Last updated
Jun 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00017420 AL Primary

Addresses

Primary practice location

139 Kensington Dr
Madison, AL 35758-7845

Mailing address

139 Kensington Dr
Madison, AL 35758-7845
Phone (256) 325-3854

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031229000064 AL Practitioner - Emergency Medicine 3274439930 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of South Alabama College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crestwood HB Medical Services LLCGroup PAC ID 2163876491, 48 clinicians

Practice addresses (Care Compare)

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00017420ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Eufaula, LLC CurrentSince May 4, 2024 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jul 7, 2014 Accepting new patients
Crestwood HB Medical Services LLC CurrentSince Sep 26, 2023 Accepting new patients
Northwest Alabama Emergency Medicine LLC CurrentSince Aug 16, 2017 Accepting new patients
App of Alabama Ed PLLC CurrentSince Apr 1, 2012 Accepting new patients
American Family Care, LLC CurrentSince Jul 7, 2014 Accepting new patients
Correct Care, Inc. Past Accepting new patients
Fayette Medical Center Past Accepting new patients
Pine Emergency Group LLC Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

205 Marengo St
Florence, AL 35630
Phone (256) 768-8350

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

46 Shields Rd
Huntsville, AL 35811
Phone (256) 382-3680

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

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1194755827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 KENSINGTON DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587845",
            "telephone_number": "256-325-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 KENSINGTON DR",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587845",
            "telephone_number": "256-325-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BRENDELLA",
        "middle_name": "TURNBOW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00017420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.