Active NPI
Brittany Michelle Bowen, CRNP
- Gerontology Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1326555780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1-130944
- Practice address
- 52 Medical Park Dr E Ste 307
Birmingham, AL 35235-3432 - Phone
- (205) 838-3047
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1-130944 | AL | Primary |
Addresses
Primary practice location
52 Medical Park Dr E Ste 307
Birmingham, AL 35235-3432
Mailing address
52 Medical Park Dr E Ste 307
Birmingham, AL 35235-3432
Phone (205) 838-3047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-130944 | AL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1326555780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 MEDICAL PARK DR E STE 307",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353432",
"telephone_number": "205-838-3047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 MEDICAL PARK DR E STE 307",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352353432",
"telephone_number": "205-838-3047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "BRITTANY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AL",
"license": "1-130944",
"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 Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.