Michele Alean Brooks, CRNP
Individual provider Active NPI Adult Health Nurse Practitioner · Birmingham, AL
NPI 1477880607 · NPPES record last updated Apr 21, 2016
Key facts
- NPI
- 1477880607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 1-096556 (AL)
- Practice address
- 2100 Southbridge Pkwy
Ste. 650
Birmingham, AL 35209-1302 - Phone
- (205) 533-8902
- Fax
- (888) 867-8627
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Topaz Bay Senior Health PC
Tapestry Telehealth PLLC
Practice addresses (Care Compare)
2100 Southbridge Pkwy
Suite 650
Birmingham, AL 35209-1317
Phone (203) 666-8145
Hospital & facility affiliations
- Vaughan Regional Medical Center Parkway Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100610000522 | AL | Practitioner - Nurse Practitioner | 0840320396 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-096556 | AL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topaz Bay Senior Health PC | Current |
Accepting new patients | |
| Whatley Health Services Inc | Current |
Accepting new patients | |
| Whatley Health Services, Inc. | Current |
Accepting new patients | |
| Carelon Medical Partners, PC | Current |
Accepting new patients | |
| Tapestry Telehealth PLLC | Current |
Accepting new patients | |
| Taylor Internal Medicine of Mobile | Past | Accepting new patients | |
| Carelon Medical Partners of Kansas, PA | Past | Accepting new patients |
Locations
1028 Bessemer Rd
Birmingham, AL 35228
Phone (205) 923-1477
200 Morrow Ave
Eutaw, AL 35462
Phone (205) 372-0011
800 Hall St
Greensboro, AL 36744
Phone (334) 624-0871
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250
230 Hospital Dr
Vernon, AL 35592
Phone (205) 614-6060
415 Derby Dr
York, AL 36925
Phone (205) 392-9656
99 Hawley Ln
Ste 1102
Stratford, CT 06614
75 Remittance Dr
#74977
Chicago, IL 60675
333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1-096556 | AL | Yes |
Addresses
Primary practice location
2100 Southbridge Pkwy
Ste. 650
Birmingham, AL 35209-1302
Mailing address
333 Commerce St
Ste. 700
Nashville, TN 37201-1826
Phone (615) 913-5086
Other providers in Birmingham, AL
- Gabrielle Brooks
- Jodene Brooks
- Kimberlee Brooks
- Mandy Brooks
- Marquita Shananna Brooks
- Michele Rene Brooks
- Natalie Capley Brooks
- Natasha Brooks
- Sarah Brooks
- Brookwood Center Development Corporation
All providers in Birmingham, AL · Adult Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.