Active NPI
Eric Brown, CRNP
- Gerontology Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1-139178
- Practice address
- 817 Princeton Ave SW
Suite 120
Birmingham, AL 35211-1333 - Phone
- (205) 783-3320
- Fax
- (205) 786-6227
- NPI assigned
- Jul 23, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
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.
-
- Specialist
- Talladega, AL
- NPI 1669436721
-
- Internal Medicine Physician
- Talladega, AL
- NPI 1861456923
-
- Family Medicine Physician
- Lincoln, AL
- NPI 1770547804
-
- Rural Health Clinic/Center
- Linden, AL
- NPI 1225682537
-
- Cardiovascular Disease Physician
- Birmingham, AL
- NPI 1821374554
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Centers LLC
Practice addresses (Care Compare)
3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone (205) 795-5390
Hospital & facility affiliations
- Baptist Health Brookwood Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171226000384 | AL | Practitioner - Nurse Practitioner | 0143588020 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-139178 | AL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tombigbee Healthcare Authority | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Tombigbee Healthcare Authority | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Cardiovascular Associates of the Southeast, L.L.C | Past | Accepting new patients |
Locations
817 Princeton Ave SW
Ste 120
Birmingham, AL 35211
Phone (205) 781-7123
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 795-5390
105 US Highway 80 E
Ste 230
Demopolis, AL 36732
Phone (334) 287-2840
105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669
5295 Preserve Pkwy
Ste 260
Hoover, AL 35244
Phone (205) 444-4858
209 W Spring St
Ste 104
Sylacauga, AL 35150
Phone (256) 245-5833
803 North St E
Talladega, AL 35160
Phone (256) 315-2252
200 Montgomery Hwy
Ste 225
Vestavia Hills, AL 35216
Phone (205) 871-7746
644 Tahoe Rd
Winfield, AL 35594
Phone (205) 487-4224
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1-139178 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
817 Princeton Ave SW
Suite 120
Birmingham, AL 35211-1333
Mailing address
817 Princeton Ave SW
Suite 120
Birmingham, AL 35211-1333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2015.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1326423013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 PRINCETON AVE SW",
"address_2": "SUITE 120",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 PRINCETON AVE SW",
"address_2": "SUITE 120",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352111333",
"telephone_number": "205-783-3320",
"fax_number": "205-786-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "ERIC",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-23",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AL",
"license": "1-139178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.