Individual provider Active NPI

Brannon Linley Queen, M.D.

  • Diagnostic Radiology Physician
  • Vandiver, AL
National Provider Identifier
1497190946
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35108 Issued in AL
Practice address
55530 Highway 25
Vandiver, AL 35176-7352
Phone
(205) 934-9700
NPI assigned
May 9, 2013
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35108 AL Primary

Addresses

Primary practice location

55530 Highway 25
Vandiver, AL 35176-7352

Mailing address

PO Box 161180
Altamonte Springs, FL 32716-1180
Phone (904) 388-6949

Other practice location 1

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-0611

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531000777 AL Practitioner - Diagnostic Radiology 2264667997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors McClow Clark and Berk PAGroup PAC ID 4587607577, 23 clinicians

Practice addresses (Care Compare)

2242 Vestridge LN
Vestavia, AL 35216-2938
Phone (904) 388-6949

55530 Hwy 25
Vandiver, AL 35176-7352
Phone (205) 821-4754

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as group
Quality
83.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Jun 1, 2018 Accepting new patients
St. Francis Physician Practices LLC Diagnostic Radiology CurrentSince Dec 17, 2025 Accepting new patients
Doctors McClow Clark & Berk PA Diagnostic Radiology CurrentSince Feb 1, 2021 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
DRS. McClow, Clark & Berk PA Diagnostic Radiology PastSince Jul 25, 2021 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

930 20th St S
Birmingham, AL 35205
Phone (205) 934-9109

10503 San Jose Blvd
Ste 100
Jacksonville, FL 32257
Phone (904) 710-3195

1800 Barrs St
Jacksonville, FL 32204
Phone (904) 387-4030

2345 Forbes St
Jacksonville, FL 32204
Phone (904) 381-9994

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

6488 103rd St
Jacksonville, FL 32210
Phone (904) 450-6810

3316 3rd St S
Ste 101
Jax Bch, FL 32250
Phone (904) 241-7772

1670 St Vincents Way
Middleburg, FL 32068
Phone (904) 308-1219

1786 Blanding Blvd
Ste K2
Middleburg, FL 32068

2001 County Road 210 W
Saint Johns, FL 32259
Phone (904) 450-6270

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1497190946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161180",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327161180",
            "telephone_number": "904-388-6949",
            "fax_number": "904-388-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55530 HIGHWAY 25",
            "city": "VANDIVER",
            "state": "AL",
            "postal_code": "351767352",
            "telephone_number": "205-934-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-0611",
            "fax_number": "703-670-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEEN",
        "first_name": "BRANNON",
        "middle_name": "LINLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "35108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandiver, AL

Sources for this page

Verify at the official NPI Registry.