Individual provider Active NPI

Julia Brooke Bevis, NP

  • Family Medicine Physician
  • Decatur, AL
National Provider Identifier
1376064121
Registry record updated Jul 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-091871 Issued in AL
Practice address
1304 13TH Ave SE
Decatur, AL 35601-4359
Phone
(256) 340-1251
NPI assigned
Jul 2, 2017
Last updated
Jul 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-091871 AL Primary

Addresses

Primary practice location

1304 13TH Ave SE
Decatur, AL 35601-4359

Mailing address

617 Haley Ann Dr SW
Hartselle, AL 35640-3812
Phone (256) 221-5701

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
I20170922002085 AL Practitioner - Nurse Practitioner 2466726807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priceville Primary CareGroup PAC ID 7416209598, 2 clinicians

Practice addresses (Care Compare)

68 Marco Dr
Decatur, AL 35603-5425
Phone (256) 973-5650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priceville Primary Care Family Medicine CurrentSince Nov 1, 2021 Accepting new patients

Locations

68 Marco Dr
Decatur, AL 35603
Phone (256) 274-4524

Organizations & group practices 1

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 2

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": "1498953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498953600000",
    "number": "1376064121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 HALEY ANN DR SW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356403812",
            "telephone_number": "256-221-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014359",
            "telephone_number": "256-340-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVIS",
        "first_name": "JULIA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-02",
        "last_updated": "2017-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-091871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.