Individual provider Active NPI

Michael T Brasher, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1477073120
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-129457 Issued in AL
Practice address
3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512
Phone
(251) 435-6850
Fax
(251) 435-6859
NPI assigned
Jun 23, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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
Mobile Emergency Physicians, LLC. 11 clinicians

Practice addresses (Care Compare)

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 633-1000

Hospital & facility affiliations

  • USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20171019003065 AL Practitioner - Nurse Practitioner 1557637428 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Group, P.C. CurrentSince Jul 17, 2017 Accepting new patients
Imc-Neurosurgery LLC CurrentSince Aug 8, 2019 Accepting new patients
Baldwin Emergency Physicians, P.C.. CurrentSince Jan 1, 2023 Accepting new patients
The Orthopaedic Group, PC CurrentSince Jul 17, 2017 Accepting new patients

Locations

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

3 Mobile Infirmary Cir
Ste 410
Mobile, AL 36607
Phone (251) 433-3344

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

6144 Airport Blvd
Mobile, AL 36608
Phone (251) 342-0004

3 Mobile Infirmary Cir
Ste 201A
Mobile, AL 36607
Phone (251) 435-6850

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-129457 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512

Mailing address

3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512
Phone (251) 435-6850

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PENDINGOtherALINSURANCE PROVIDER IDS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2020.

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1477073120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 410",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073512",
            "telephone_number": "251-435-6850",
            "fax_number": "251-450-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 410",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073512",
            "telephone_number": "251-435-6850",
            "fax_number": "251-435-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASHER",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-129457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PROVIDER IDS",
            "identifier": "PENDING",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.