Active NPI
Brenda Mayfield, NP
- Psychiatric/Mental Health Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1-147617
- Practice address
- 700 19TH St S
Birmingham, AL 35233-1927 - Phone
- (205) 933-8101
- Fax
- (205) 212-3996
- NPI assigned
- Nov 14, 2013
- Last updated
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-147617 | AL | Primary |
Addresses
Primary practice location
700 19TH St S
Birmingham, AL 35233-1927
Mailing address
104 Augusta Way
Helena, AL 35080-3939
Phone (719) 650-1743
Other practice location 1
11115 W.Hwy 24, Unit 2C
Divide, CO 80814
Phone (719) 687-6416
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
437 Belcher St
Centreville, AL 35042-2946
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Bibb County Healthcare Authority | Current | Accepting new patients | |
| The Bibb County Health Care Authority | Current | Accepting new patients |
Locations
405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694
208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230
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.
-
dba Bibb Medical Associates
- Rural Health Clinic/Center
- Centreville, AL
- NPI 1972532299
-
dba Bibb Medical Center Pharmacy
- Pharmacy
- Centreville, AL
- NPI 1568558146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1356771166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 AUGUSTA WAY",
"city": "HELENA",
"state": "AL",
"postal_code": "350803939",
"telephone_number": "719-650-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331927",
"telephone_number": "205-933-8101",
"fax_number": "205-212-3996"
}
],
"practiceLocations": [
{
"address_1": "11115 W.Hwy 24, Unit 2C",
"address_purpose": "LOCATION",
"city": "Divide",
"state": "CO",
"postal_code": "80814",
"country_code": "US",
"telephone_number": "719-687-6416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYFIELD",
"first_name": "BRENDA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AL",
"license": "1-147617",
"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 Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.