Individual provider Active NPI

Brook Summer Chapman, CRNP

  • Acute Care Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1205615150
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-157781 Issued in AL
Practice address
1131 Leighton Ave
Anniston, AL 36207-4610
Phone
(256) 237-0025
NPI assigned
Sep 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-157781 AL
Acute Care Nurse Practitioner 363LA2100X 1-157781 AL Primary

Addresses

Primary practice location

1131 Leighton Ave
Anniston, AL 36207-4610

Mailing address

1131 Leighton Ave
Anniston, AL 36207-4610
Phone (256) 237-0025

Other practice location 1

301 E 18th St
Anniston, AL 36207-3952
Phone (256) 235-8900

Other practice location 2

400 E 10th St
Anniston, AL 36207-4716
Phone (256) 235-5121

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
I20250106002888 AL Practitioner - Nurse Practitioner 4082142906 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-157781ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Oct 16, 2024 Accepting new patients
Alabama Post-Acute Medical Service 1 PC CurrentSince Oct 16, 2024 Accepting new patients
NM Pacs 2 LLC CurrentSince Oct 16, 2024 Accepting new patients

Locations

1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847

280 Mt Hebron Rd
Elmore, AL 36025
Phone (334) 265-7585

1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485

857 Crawford Ln
Prichard, AL 36617
Phone (251) 433-9801

Organizations & group practices 3

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1205615150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074610",
            "telephone_number": "256-237-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 LEIGHTON AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362074610",
            "telephone_number": "256-237-0025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 18th St",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362073952",
            "country_code": "US",
            "telephone_number": "256-235-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362074716",
            "country_code": "US",
            "telephone_number": "256-235-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "BROOK",
        "middle_name": "SUMMER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-157781",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-157781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.