Individual provider Active NPI

Brent Richard Yoder, CRNP

  • Family Nurse Practitioner
  • Flomaton, AL
National Provider Identifier
1497831184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1089948 Issued in AL
Practice address
174 Hwy 113
Flomaton, AL 36441
Phone
(251) 296-2456
Fax
(251) 296-0320
NPI assigned
Oct 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1089948 AL Primary

Addresses

Primary practice location

174 Hwy 113
Flomaton, AL 36441

Mailing address

PO Box 997
Flomaton, AL 36441-0997
Phone (251) 296-2456

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070914000427 AL Practitioner - Nurse Practitioner 0042304586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5850 Hwy 21
Atmore, AL 36502-6333
Phone (251) 368-7974

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1089948ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Escambia County Alabama Community Hospitals, Inc Current Accepting new patients
Escambia County Alabama Community Hospitals, Inc. CurrentSince Aug 29, 2025 Accepting new patients
D.W. McMillan Memorial Hospital Past Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

402 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-7974

5850 Highway 21
Atmore, AL 36502
Phone (251) 368-6245

Organizations & group practices 3

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 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497831184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "364410997",
            "telephone_number": "251-296-2456",
            "fax_number": "251-296-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 HWY 113",
            "city": "FLOMATON",
            "state": "AL",
            "postal_code": "36441",
            "telephone_number": "251-296-2456",
            "fax_number": "251-296-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "BRENT",
        "middle_name": "RICHARD",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1089948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flomaton, AL

Sources for this page

Verify at the official NPI Registry.