Individual provider Active NPI

Brenda C Miller Edmonson, MD

  • Ophthalmology Physician
  • Huntsville, AL
National Provider Identifier
1336135268
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26946 Issued in AL
Practice address
910 Adams St SE
Suite 130
Huntsville, AL 35801-3730
Phone
(256) 265-6344
Fax
(256) 265-7965
NPI assigned
Sep 26, 2005
Last updated
Oct 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 26946 AL Primary

Addresses

Primary practice location

910 Adams St SE
Suite 130
Huntsville, AL 35801-3730

Mailing address

910 Adams St SE
Suite 130
Huntsville, AL 35801-3730
Phone (256) 265-6344

Other identifiers 1

IdentifierTypeStateIssuer
32640OtherALMEDICARE ID

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
I20060403000404 AL Practitioner - Ophthalmology 6507824117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Alabama College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 Lowell Dr SE
Suite 105
Huntsville, AL 35801-3755
Phone (256) 265-6344

910 Adams St SE
Suite 130
Huntsville, AL 35801-3751
Phone (256) 265-6344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.3 of 100Reported as individual
Quality
52.61
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26946ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Breast Care Center, P.C. Current Accepting new patients
Edmonson Aesthetic Facial Surgery LLC Ophthalmology CurrentSince May 23, 2008 Accepting new patients

Locations

420 Lowell Dr SE
Ste 105
Huntsville, AL 35801
Phone (256) 535-5988

910 Adams St SE
Ste 130
Huntsville, AL 35801
Phone (256) 265-4560

Organizations & group practices 2

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1336135268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE",
            "address_2": "SUITE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013730",
            "telephone_number": "256-265-6344",
            "fax_number": "256-265-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE",
            "address_2": "SUITE 130",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013730",
            "telephone_number": "256-265-6344",
            "fax_number": "256-265-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER EDMONSON",
        "first_name": "BRENDA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "26946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "32640",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.