Active NPI
Brenda Lea Smith, CRNP
- Family Medicine Physician
- Semmes, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1-062996
- Practice address
- 8010 Moffett Rd
Semmes, AL 36575-5406 - Phone
- (251) 645-8946
- Fax
- (251) 645-8976
- NPI assigned
- Jul 25, 2006
- Last updated
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-062996 | AL | |
| Family Medicine Physician | 207Q00000X | 1-062996 | AL | Primary |
Addresses
Primary practice location
8010 Moffett Rd
Semmes, AL 36575-5406
Mailing address
2031 Snow Rd N
Semmes, AL 36575-7629
Phone (251) 645-0927
Other practice location 1
5907 Highway 90
Moss Point, MS 39563-6536
Phone (228) 769-2611
Other practice location 2
8833 Cottage Hill Rd
Mobile, AL 36695-8345
Phone (251) 544-5420
Other practice location 3
5621 Cottage Hill Rd
Mobile, AL 36609-4210
Phone (251) 666-2439
Other practice location 4
411 N Section St
Fairhope, AL 36532-2649
Phone (251) 660-3470
Other practice location 5
19140 S 3rd St
Citronelle, AL 36522-2306
Phone (251) 866-0086
Other practice location 6
9971 Airport Blvd
Mobile, AL 36608-9525
Phone (251) 660-3500
Other practice location 7
5100 Rangeline Service Rd N
Mobile, AL 36619-9504
Phone (251) 661-4454
Other practice location 8
610 Providence Park Dr E Ste 101
Mobile, AL 36695-4618
Phone (251) 378-3900
Other practice location 9
18 CM Rambo Dr
Saraland, AL 36571-2147
Phone (251) 675-7433
Other practice location 10
610 Providence Park Dr E Ste 102
Mobile, AL 36695-4618
Phone (251) 639-5070
Other practice location 11
6908 Providence Park Dr S
Mobile, AL 36695-4600
Phone (251) 660-3490
Other practice location 12
6701 Airport Blvd Ste A206
Mobile, AL 36608-3763
Phone (251) 675-7433
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1359 Broadway
Suite 732
New York, NY 10018-7729
3929 Airport Blvd
FL 5
Mobile, AL 36609-1987
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-062996 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Providence Healthcare Services | Family Medicine | Current | Accepting new patients |
| Alabama Providence Healthcare Services | Family Medicine | Current | Accepting new patients |
| Alabama Providence Healthcare Services | Current | Accepting new patients | |
| USA Health Community Providers LLC | Family Medicine | Current | Accepting new patients |
| Checkups - Al LLC | Past | Accepting new patients |
Locations
19140 S 3rd St
Citronelle, AL 36522
Phone (251) 866-0086
411 N Section St
Fairhope, AL 36532
Phone (251) 517-5027
5100 Rangeline Service Rd N
Mobile, AL 36619
Phone (251) 661-4454
5621 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 666-2439
610 Providence Park Dr E
Ste 101
Mobile, AL 36695
Phone (251) 378-3900
610 Providence Park Dr E
Ste 102
Mobile, AL 36695
Phone (251) 378-3900
6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880
6701 Airport Blvd
Ste A206
Mobile, AL 36608
Phone (251) 675-7433
6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311
6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580
8833 Cottage Hill Rd
Mobile, AL 36695
Phone (251) 544-5120
9971 Airport Blvd
Mobile, AL 36608
Phone (251) 660-3500
18 Rambo Dr
Saraland, AL 36571
Phone (251) 675-2029
8010 Moffett Rd
Semmes, AL 36575
Phone (251) 645-8946
5907 Highway 90
Pascagoula, MS 39563
Phone (225) 769-1611
Interoperability endpoints
- brenda.smith.1@16253.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Medical Group
- Internal Medicine Physician
- Mobile, AL
- NPI 1245669514
Family Medicine
-
- Family Medicine Physician
- Robertsdale, AL
- NPI 1174952261
-
dba Ascension Providence Diabetes Management Program
- Endocrinology, Diabetes & Metabolism Physician
- Mobile, AL
- NPI 1609446087
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801571823
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba USA Health Providence Hospital
- General Acute Care Hospital
- Mobile, AL
- NPI 1992489223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1487677068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 SNOW RD N",
"city": "SEMMES",
"state": "AL",
"postal_code": "365757629",
"telephone_number": "251-645-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8010 MOFFETT RD",
"city": "SEMMES",
"state": "AL",
"postal_code": "365755406",
"telephone_number": "251-645-8946",
"fax_number": "251-645-8976"
}
],
"practiceLocations": [
{
"address_1": "5907 Highway 90",
"address_purpose": "LOCATION",
"city": "Moss Point",
"state": "MS",
"postal_code": "395636536",
"country_code": "US",
"telephone_number": "228-769-2611",
"fax_number": "228-934-2481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8833 Cottage Hill Rd",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366958345",
"country_code": "US",
"telephone_number": "251-544-5420",
"fax_number": "251-544-5425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5621 Cottage Hill Rd",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366094210",
"country_code": "US",
"telephone_number": "251-666-2439",
"fax_number": "251-666-3166",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 N Section St",
"address_purpose": "LOCATION",
"city": "Fairhope",
"state": "AL",
"postal_code": "365322649",
"country_code": "US",
"telephone_number": "251-660-3470",
"fax_number": "251-660-3471",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19140 S 3rd St",
"address_purpose": "LOCATION",
"city": "Citronelle",
"state": "AL",
"postal_code": "365222306",
"country_code": "US",
"telephone_number": "251-866-0086",
"fax_number": "251-866-0089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9971 Airport Blvd",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366089525",
"country_code": "US",
"telephone_number": "251-660-3500",
"fax_number": "251-660-3501",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5100 Rangeline Service Rd N",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366199504",
"country_code": "US",
"telephone_number": "251-661-4454",
"fax_number": "251-661-9843",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 Providence Park Dr E Ste 101",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366954618",
"country_code": "US",
"telephone_number": "251-378-3900",
"fax_number": "251-378-3902",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18 CM Rambo Dr",
"address_purpose": "LOCATION",
"city": "Saraland",
"state": "AL",
"postal_code": "365712147",
"country_code": "US",
"telephone_number": "251-675-7433",
"fax_number": "251-675-3470",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 Providence Park Dr E Ste 102",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366954618",
"country_code": "US",
"telephone_number": "251-639-5070",
"fax_number": "251-634-2994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6908 Providence Park Dr S",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366954600",
"country_code": "US",
"telephone_number": "251-660-3490",
"fax_number": "251-660-3491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6701 Airport Blvd Ste A206",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366083763",
"country_code": "US",
"telephone_number": "251-675-7433",
"fax_number": "251-675-3470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "BRENDA",
"middle_name": "LEA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-062996",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "1-062996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Semmes, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.