Individual provider Active NPI

Brooke Renee Bishop

  • Physical Therapist
  • Huntsville, AL
National Provider Identifier
1336713155
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1-1137 Issued in AL
Practice address
4240 Balmoral Dr SW Ste 100
Huntsville, AL 35801-5633
Phone
(256) 617-5938
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1-1137 AL Primary

Addresses

Primary practice location

4240 Balmoral Dr SW Ste 100
Huntsville, AL 35801-5633

Mailing address

4240 Balmoral Dr SW Ste 100
Huntsville, AL 35801-5633
Phone (256) 617-5938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220119001263 AL Practitioner - Physical Therapist in Private Practice 2062804388 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sixfourthree, LLCGroup PAC ID 7719957976, 47 clinicians

Practice addresses (Care Compare)

4240 Balmoral Dr SW
Suite 100
Huntsville, AL 35801-5633
Phone (256) 883-1970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-1137ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sixfourthree, LLC CurrentSince Nov 4, 2021 Accepting new patients
Therafit, LLC Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Sixfourthree, LLC CurrentSince Nov 4, 2021 Accepting new patients

Locations

4240 Balmoral Dr SW
Ste 100
Huntsville, AL 35801
Phone (256) 883-1970

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1336713155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 BALMORAL DR SW STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015633",
            "telephone_number": "256-617-5938",
            "fax_number": "256-883-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 BALMORAL DR SW STE 100",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015633",
            "telephone_number": "256-617-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BROOKE",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "1-1137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.