Individual provider Active NPI

Breanna Brandon, CRNP

  • Family Nurse Practitioner
  • Athens, AL
National Provider Identifier
1275032484
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140617 Issued in AL
Practice address
22335 US Hwy 77, Suite C
Athens, AL 35613
Phone
(256) 870-4111
Fax
(256) 870-4112
NPI assigned
Feb 3, 2018
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-140617 AL Primary

Addresses

Primary practice location

22335 US Hwy 77, Suite C
Athens, AL 35613

Mailing address

22335 US Hwy 77, Suite C
Athens, AL 35613
Phone (256) 870-4111

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
I20180613003249 AL Practitioner - Nurse Practitioner 8527313659 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-140617ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness, LLC CurrentSince Mar 17, 2018 Accepting new patients
Quick Care Urgent, LLC CurrentSince Mar 17, 2018 Accepting new patients
Quickcare RX LLC Past Accepting new patients
QC Pharmacy LLC Past Accepting new patients

Locations

202 Governors Dr SE
Huntsville, AL 35801
Phone (256) 517-8317

7500 Highway 72 W
Madison, AL 35758
Phone (256) 517-8317

Interoperability endpoints

  • Direct secure messaging: breanna.brandon@3554.securemail.prognocis.com

Organizations & group practices 4

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": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1275032484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22335 US HWY 77, SUITE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35613",
            "telephone_number": "256-870-4111",
            "fax_number": "256-870-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22335 US HWY 77, SUITE C",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35613",
            "telephone_number": "256-870-4111",
            "fax_number": "256-870-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "BREANNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-03",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.