Individual provider Active NPI

Brenda P Bynum, CRNP

  • Family Nurse Practitioner
  • Lincoln, AL
National Provider Identifier
1497869556
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1023344 Issued in AL
Practice address
47344 US Highway 78
Lincoln, AL 35096-6748
Phone
(205) 763-7848
Fax
(205) 763-7235
NPI assigned
Aug 18, 2006
Last updated
Dec 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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 1023344 AL Primary

Addresses

Primary practice location

47344 US Highway 78
Lincoln, AL 35096-6748

Mailing address

47344 US Highway 78
Lincoln, AL 35096-6748
Phone (205) 763-7848

Other identifiers 1

IdentifierTypeStateIssuer
000028711MedicaidAL

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
I20051205000781 AL Practitioner - Nurse Practitioner 2860412889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHC - LincolnGroup PAC ID 1456255090, 4 clinicians
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

47344 US Hwy 78
Lincoln, AL 35096-6748

48 N Cedars Rd
Munford, AL 36268-7191
Phone (256) 358-4553

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1023344ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier NP Inc Family CurrentSince Aug 1, 2021 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince Dec 31, 2017 Accepting new patients

Locations

750 AL Highway 75 N
Albertville, AL 35951
Phone (253) 362-4197

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

200 Beacon Pkwy W
Ste 330
Birmingham, AL 35209

47344 US Highway 78
Lincoln, AL 35096
Phone (205) 763-7848

48 N Cedars Rd
Munford, AL 36268
Phone (205) 358-4553

803 North St E
Talladega, AL 35160
Phone (256) 315-2252

Interoperability endpoints

  • Direct secure messaging: bbynum3462@baptisthealthaldirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1497869556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47344 US HIGHWAY 78",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350966748",
            "telephone_number": "205-763-7848",
            "fax_number": "205-763-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47344 US HIGHWAY 78",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350966748",
            "telephone_number": "205-763-7848",
            "fax_number": "205-763-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "BRENDA",
        "middle_name": "P",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1023344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000028711",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, AL

Sources for this page

Verify at the official NPI Registry.