Individual provider Active NPI

Tommy Lee Bratcher, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1356698328
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-197363 Issued in AL
Practice address
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Phone
(205) 343-2225
Fax
(205) 343-7825
NPI assigned
Aug 9, 2012
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-197363 AL
Family Nurse Practitioner 363LF0000X 3007691 KY
Family Nurse Practitioner 363LF0000X 1-197363 AL Primary

Addresses

Primary practice location

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698

Mailing address

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Phone (205) 343-2225

Other practice location 1

122 17th Ct NE
Fayette, AL 35555-1353
Phone (205) 932-7777

Other practice location 2

4960 Rice Mine Rd NE Ste 10
Tuscaloosa, AL 35406-3136
Phone (205) 333-9467

Other practice location 3

3909 McFarland Blvd
Northport, AL 35476-2838
Phone (205) 333-1993

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
I20241104000829 AL Practitioner - Nurse Practitioner 0143126789 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Relias Emergency Medicine Specialists of Northport, LLCGroup PAC ID 2668724634, 22 clinicians
Relias Emergency Medicine Specialists of Regional, LLCGroup PAC ID 9436401106, 29 clinicians

Practice addresses (Care Compare)

2700 Hospital Dr
Northport, AL 35476-3360
Phone (205) 333-4500

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-197363ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medcenter Demopolis, LLC CurrentSince Jul 29, 2024 Accepting new patients
Medcenter Fayette, LLC Family CurrentSince Jul 29, 2024 Accepting new patients
Relias Emergency Medicine Specialists of Regional, LLC CurrentSince Feb 25, 2025 Accepting new patients
Relias Emergency Medicine Specialists of Northport, LLC CurrentSince Feb 25, 2025 Accepting new patients
Medcenter Primary Care, LLC Nurse Practitioner CurrentSince Jul 29, 2024 Accepting new patients
Tuscaloosa Medcenter North, LLC CurrentSince Jul 29, 2024 Accepting new patients

Locations

705 US Highway 80 W
Demopolis, AL 36732
Phone (205) 333-1993

122 17th Ct NE
Fayette, AL 35555
Phone (205) 330-1707

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

4960 Rice Mine Rd NE
Ste 10
Tuscaloosa, AL 35406
Phone (205) 333-9467

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 333-4654

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

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 3

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": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1356698328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-343-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-343-7825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 17th Ct NE",
            "address_purpose": "LOCATION",
            "city": "Fayette",
            "state": "AL",
            "postal_code": "355551353",
            "country_code": "US",
            "telephone_number": "205-932-7777",
            "fax_number": "205-932-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4960 Rice Mine Rd NE Ste 10",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354063136",
            "country_code": "US",
            "telephone_number": "205-333-9467",
            "fax_number": "205-758-1435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3909 McFarland Blvd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "AL",
            "postal_code": "354762838",
            "country_code": "US",
            "telephone_number": "205-333-1993",
            "fax_number": "205-333-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRATCHER",
        "first_name": "TOMMY",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-09",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-197363",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007691",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-197363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.