Individual provider Active NPI

Brent J Hurd, D.O.

  • Obstetrics & Gynecology Physician
  • Florence, AL
National Provider Identifier
1508077199
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO.1290 Issued in AL
Practice address
1751 Veterans Drive
Suite 205
Florence, AL 35630
Phone
(256) 767-0081
Fax
(256) 767-3077
NPI assigned
May 24, 2007
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO.1290 AL Primary
Obstetrics & Gynecology Physician 207V00000X 34.009142 OH
Obstetrics & Gynecology Physician 207V00000X OS014474 PA

Addresses

Primary practice location

1751 Veterans Drive
Suite 205
Florence, AL 35630

Mailing address

P.O. Box 10005
Florence, AL 35631-2005
Phone (256) 767-0081

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
I20120731000748 AL Practitioner - Obstetrics/Gynecology 7911060645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio University, College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009142OHMDObstetrics & Gynecology Physician
OS014474PAMDObstetrics & Gynecology Physician
1290ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Ecm Health Group LLC Obstetrics & Gynecology CurrentSince Jan 1, 2019 Accepting new patients
Obstetrics & Gynecology Associates of Northwest Alabama, P.C. Obstetrics & Gynecology Current Accepting new patients
RCHP - Florence LLC Past Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

1751 Veterans Dr
Ste 205
Florence, AL 35630
Phone (256) 766-2600

2407 Helton Dr
Florence, AL 35630
Phone (256) 718-5900

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

42030 Highway 195
Ste C
Haleyville, AL 35565
Phone (205) 485-7192

523 Gandy St NE
Ste D
Russellville, AL 35653
Phone (256) 766-2118

Interoperability endpoints

  • Direct secure messaging: brent.hurd.1@6269.direct.athenahealth.com

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 2

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1508077199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 10005",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356312005",
            "telephone_number": "256-767-0081",
            "fax_number": "256-767-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DRIVE",
            "address_2": "SUITE 205",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-767-0081",
            "fax_number": "256-767-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURD",
        "first_name": "BRENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "DO.1290",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.009142",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS014474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.