Individual provider Active NPI

Eric Brown, CRNP

  • Gerontology Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1326423013
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-139178 Issued in AL
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
Last updated
Jul 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-139178 AL Primary

Addresses

Primary practice location

817 Princeton Ave SW
Suite 120
Birmingham, AL 35211-1333

Mailing address

817 Princeton Ave SW
Suite 120
Birmingham, AL 35211-1333

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
I20171226000384 AL Practitioner - Nurse Practitioner 0143588020 Reassigns benefits to 2 organizations

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 LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

3980 Colonnade Pkwy
Birmingham, AL 35243-2382
Phone (205) 795-5390

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-139178ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tombigbee Healthcare Authority CurrentSince Mar 1, 2022 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Tombigbee Healthcare Authority CurrentSince Mar 1, 2022 Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 1, 2019 Accepting new patients
Baptist Health Centers LLC CurrentSince Aug 1, 2019 Accepting new patients
Cardiovascular Associates of the Southeast, L.L.C Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 795-5390

817 Princeton Ave SW
Ste 120
Birmingham, AL 35211
Phone (205) 781-7123

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

105 US Highway 80 E
Ste 230
Demopolis, AL 36732
Phone (334) 287-2840

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "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

Verify at the official NPI Registry.