Individual provider Active NPI

Brett Myers Scruggs, CRNA

  • Certified Registered Nurse Anesthetist
  • Birmingham, AL
National Provider Identifier
1518403617
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-148906 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249-8211
Phone
(205) 934-4011
NPI assigned
Jan 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 087836-23 NH
Certified Registered Nurse Anesthetist 367500000X 901421 MS
Certified Registered Nurse Anesthetist 367500000X 1-148906 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-8211

Mailing address

PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210000519 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254617988 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Montgomery PCGroup PAC ID 5799684148, 117 clinicians
Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians

Practice addresses (Care Compare)

2010 Brookwood Medical Ctr Dr
Suite G100
Birmingham, AL 35209-6804
Phone (205) 838-3888

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-3579

4511 Southlake Pkwy
Hoover, AL 35244-3238
Phone (205) 985-4398

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of North-Central Alabama Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Oct 30, 2022 Accepting new patients
Providence Hospital Current Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc Current Accepting new patients
Providence Hospital CurrentSince Jan 14, 2022 Accepting new patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2019 Accepting new patients

Locations

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

2010 Brookwood Medical Ctr Dr
Ste G100
Birmingham, AL 35209
Phone (205) 523-4342

3686 Grandview Pkwy
Ste 620
Birmingham, AL 35243
Phone (205) 971-3700

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

619 19th St S
Birmingham, AL 35249

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1518403617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55310",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352555310",
            "telephone_number": "205-731-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352498211",
            "telephone_number": "205-934-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "BRETT",
        "middle_name": "MYERS",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-12",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "087836-23",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901421",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-148906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.