Individual provider Active NPI

Donald Brobst, MD

  • Family Medicine Physician
  • Prattville, AL
National Provider Identifier
1255352928
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18431 Issued in AL
Practice address
1595 E Main St
Prattville, AL 36066
Phone
(334) 361-3171
Fax
(334) 361-3176
NPI assigned
Jul 21, 2006
Last updated
Dec 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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 18431 AL Primary

Addresses

Primary practice location

1595 E Main St
Prattville, AL 36066

Mailing address

100 Capitol Commerce Blvd
BLDG a Suite 250
Montgomery, AL 36117-4260
Phone (334) 386-1420

Other identifiers 1

IdentifierTypeStateIssuer
51556637BROMedicaidAL

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
I20050921000266 AL Practitioner - Family Practice 3375575848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care South, Inc.Group PAC ID 3274793039, 7 clinicians

Practice addresses (Care Compare)

143 White Oak TRL
Warrior, AL 35180-5736
Phone (205) 647-1819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18431ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care South, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Rural Primary Care South, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Stopwatch Urgent Care Centers LLC CurrentSince Sep 10, 2018 Accepting new patients
Acsh Primary Care of Alabama, LLC Past Accepting new patients

Locations

2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117

3029 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 436-8270

5415 Summerville Rd
Ste B
Phenix City, AL 36867
Phone (334) 297-7100

115 W Grand Ave
Ste 90
Rainbow City, AL 35906
Phone (256) 442-6400

143 White Oak Trl
Warrior, AL 35180
Phone (205) 647-1819

143 White Oak Trl
Ste 2
Warrior, AL 35180
Phone (205) 543-6668

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1255352928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CAPITOL COMMERCE BLVD",
            "address_2": "BLDG A SUITE 250",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361174260",
            "telephone_number": "334-386-1420",
            "fax_number": "334-386-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 E MAIN ST",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "36066",
            "telephone_number": "334-361-3171",
            "fax_number": "334-361-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBST",
        "first_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51556637BRO",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

Verify at the official NPI Registry.