Individual provider Active NPI

Leslie Graham Brewer, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1457800773
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-135979 Issued in AL
Practice address
5121 Selkirk Dr
Birmingham, AL 35242-4129
Phone
(205) 873-2133
NPI assigned
Sep 28, 2016
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-135979 AL Primary

Addresses

Primary practice location

5121 Selkirk Dr
Birmingham, AL 35242-4129

Mailing address

5121 Selkirk Dr
Birmingham, AL 35242-4129
Phone (205) 873-2133

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
I20210322001440 AL Practitioner - Nurse Practitioner 2264849116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Eminence Urgent Care LLCGroup PAC ID 5991105561, 10 clinicians

Practice addresses (Care Compare)

2156 Hwy 52 E
Suite 150
Pelham, AL 35124-6021
Phone (205) 920-1211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Eminence Urgent Care LLC CurrentSince Mar 25, 2021 Accepting new patients

Locations

2156 Highway 52 E
#150
Pelham, AL 35124
Phone (205) 920-1211

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.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1457800773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 SELKIRK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424129",
            "telephone_number": "205-873-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 SELKIRK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424129",
            "telephone_number": "205-873-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "LESLIE",
        "middle_name": "GRAHAM",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-135979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.