Active NPI
Brittany Herron Bonner, CRNP
- Family Nurse Practitioner
- Anniston, AL
National Provider Identifier
1467124396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-145264
- Practice address
- 1316 Noble St
Anniston, AL 36201-4643 - Phone
- (256) 236-0221
- Fax
- (256) 240-9734
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Community Health Clinic/Center
- Gadsden, AL
- NPI 1447200977
-
- Federally Qualified Health Center (FQHC)
- Heflin, AL
- NPI 1467620989
-
- Community Health Clinic/Center
- Anniston, AL
- NPI 1568412666
-
- Internal Medicine Physician
- Gadsden, AL
- NPI 1184688681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-145264 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Quality of Life Health Services, Inc | Current | Accepting new patients | |
| Quality of Life Health Services Inc | Current | Accepting new patients | |
| First Care Medical Clinic | Past | Accepting new patients |
Locations
1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221
1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-145264 | AL | Primary |
Addresses
Primary practice location
1316 Noble St
Anniston, AL 36201-4643
Mailing address
1316 Noble St
Anniston, AL 36201-4643
Phone (256) 236-0221
NPI Registry JSON
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1467124396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 NOBLE ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362014643",
"telephone_number": "256-236-0221",
"fax_number": "256-240-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 NOBLE ST",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362014643",
"telephone_number": "256-236-0221",
"fax_number": "256-240-9734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNER",
"first_name": "BRITTANY",
"middle_name": "HERRON",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-145264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.