Brooke Collier O'Sullivan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11023754 Issued in FL

Practice address

3601 Springhill Business Park Ste 2
Mobile, AL 36608-1256

Phone

(251) 873-6192

NPI assigned

Jan 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gut PC

  • Gastroenterology Physician
  • Dothan, AL
  • NPI 1073566006
  Medicare reassignment NPD
• Gut PC

  • Anesthesiology Physician
  • Dothan, AL
  • NPI 1790201903
  NPD

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1407569643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 SPRINGHILL BUSINESS PARK STE 2",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081256",
            "telephone_number": "251-873-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 SPRINGHILL BUSINESS PARK STE 2",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081256",
            "telephone_number": "251-873-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SULLIVAN",
        "first_name": "BROOKE",
        "middle_name": "COLLIER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11023754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald B O'Gorman, M.D.
• William Rowell O'Neal Sr., DMD
• Patrick Kevin O'Neill, R.PH.
• Tessie O'Quinn, FNP-BC; AGACNP-C
• Mason Blaize O'Rourke
• Kathleen O'Sullivan
• Kelsea Wright O'Sullivan, MD
• Michael O'Sullivan, MD
• Oak Ridge Health Systems Inc
• Oak Ridge Health Systems Inc

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.