Individual provider Active NPI

Brooke R Uptagrafft, M.D.

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1194975342
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L.2987 Issued in AL
Practice address
247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone
(256) 881-5863
Fax
(256) 217-5838
NPI assigned
Sep 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 L.2987 AL Primary

Addresses

Primary practice location

247 Chateau Dr SW
Huntsville, AL 35801-6401

Mailing address

247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone (256) 881-5863

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brooke.uptagrafft@innovapc.eclinicaldirectplus.com Innova Primary Care, PC

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
I20110926000806 AL Practitioner - Family PracticePractitioner - Other (Physician) 3476724360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innova Primary Care, PCGroup PAC ID 4688845571, 14 clinicians

Practice addresses (Care Compare)

247 Chateau Dr SW
Huntsville, AL 35801-6401
Phone (256) 882-1510

Hospital & facility affiliations

  • Amedisys Home Health of Huntsville Home health agency, Huntsville, AL, CCN 017039
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L.2987ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Primary Care, PC Family Medicine CurrentSince Oct 4, 2011 Accepting new patients

Locations

247 Chateau Dr SW
Huntsville, AL 35801
Phone (256) 533-9393

1102 Gleneagles Dr SW
Huntsville, AL 35801
Phone (256) 881-5880

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFECDA
  • Direct secure messaging: brooke.uptagrafft@innovapc.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1194975342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-881-5863",
            "fax_number": "256-217-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 CHATEAU DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016401",
            "telephone_number": "256-881-5863",
            "fax_number": "256-217-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTAGRAFFT",
        "first_name": "BROOKE",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "L.2987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooke.uptagrafft@innovapc.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "Innova Primary Care, PC",
            "address_1": "247 Chateau Dr SW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358016401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.