Individual provider Active NPI

Brent Booth Whiddon, MD

  • Obstetrics & Gynecology Physician
  • Foley, AL
National Provider Identifier
1235339342
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.30813 Issued in AL
Practice address
1725 N McKenzie St
Foley, AL 36535-2249
Phone
(251) 943-2141
Fax
(251) 949-3453
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD.30813 AL Primary

Addresses

Primary practice location

1725 N McKenzie St
Foley, AL 36535-2249

Mailing address

1725 N McKenzie St
Foley, AL 36535-2249
Phone (251) 943-2141

Other practice location 1

203 Vaughan Memorial Dr
Selma, AL 36701-6950
Phone (334) 874-3633

Other identifiers 1

IdentifierTypeStateIssuer
130898MedicaidAL

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
I20110819000196 AL Practitioner - Obstetrics/Gynecology 4385814821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foley Clinic Corp.Group PAC ID 5193741759, 86 clinicians

Practice addresses (Care Compare)

1711 N McKenzie St
Suite 102
Foley, AL 36535-2249
Phone (251) 952-6631

Hospital & facility affiliations

  • Baldwin Health Hospital, Foley, AL, CCN 010083

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.30813ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foley Clinic Corp CurrentSince Nov 3, 2025 Accepting new patients
Decatur Womens Healthcare CurrentSince Jan 27, 2019 Accepting new patients
Foley Clinic Corp CurrentSince Nov 3, 2025 Accepting new patients
Foley Hospital Company LLC Past Accepting new patients
H H Health System-Morgan LLC Past Accepting new patients
Selma Women'S Health, LLC PastSince Jul 1, 2011 Accepting new patients

Locations

1304 13th Ave SE
Ste B
Decatur, AL 35601
Phone (256) 355-9216

1725 N McKenzie St
Foley, AL 36535
Phone (251) 943-2141

1711 N McKenzie St
Ste 102
Foley, AL 36535
Phone (251) 952-6631

161 W Peachtree Ave
Foley, AL 36535
Phone (251) 943-5511

Interoperability endpoints

  • Direct secure messaging: brent.whiddon.1@1599.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4

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.

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1235339342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352249",
            "telephone_number": "251-943-2141",
            "fax_number": "251-949-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352249",
            "telephone_number": "251-943-2141",
            "fax_number": "251-949-3453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 Vaughan Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "AL",
            "postal_code": "367016950",
            "country_code": "US",
            "telephone_number": "334-874-3633",
            "fax_number": "334-875-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHIDDON",
        "first_name": "BRENT",
        "middle_name": "BOOTH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "MD.30813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130898",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.