Individual provider Active NPI

Brooke Carroll

  • Family Medicine Physician
  • Centreville, AL
National Provider Identifier
1508389180
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.38800 Issued in AL
Practice address
405 Belcher St
Centreville, AL 35042-2946
Phone
(205) 277-2460
NPI assigned
Jul 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.38800 AL Primary

Addresses

Primary practice location

405 Belcher St
Centreville, AL 35042-2946

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 277-2460

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
I20200326003916 AL Practitioner - Family Practice 4688948821 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Physicians Group LLCGroup PAC ID 2668835604, 16 clinicians

Practice addresses (Care Compare)

400 E 10TH St
Anniston, AL 36207-4716
Phone (256) 235-5121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.38800ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Emergency Physician Partners, LLC CurrentSince Jun 1, 2024 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Feb 12, 2020 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Feb 12, 2020 Accepting new patients
Regional Health Management Corporation CurrentSince Jul 1, 2021 Accepting new patients
Regional Health Management Corporation Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
App of Alabama Ed PLLC CurrentSince Mar 1, 2022 Accepting new patients
Alabama Physicians Group LLC CurrentSince Aug 15, 2023 Accepting new patients
Alabama Emergency Physician Partners, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

400 E 8th St
Anniston, AL 36207
Phone (256) 237-8527

901 Leighton Ave
Ste 204
Anniston, AL 36207
Phone (256) 235-5015

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1950 Main St
Roanoke, AL 36274
Phone (256) 236-4121

Organizations & group practices 10

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 1

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508389180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-277-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-277-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.38800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.