Individual provider Active NPI

Brandi Thomas

  • Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1538031083
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-136761 Issued in AL
Practice address
1403 Old Water Works Rd SW
Fort Payne, AL 35968-3353
Phone
(256) 646-7246
Fax
(256) 304-5333
NPI assigned
Sep 23, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-136761 AL
Nurse Practitioner 363L00000X 1-136761 AL Primary

Addresses

Primary practice location

1403 Old Water Works Rd SW
Fort Payne, AL 35968-3353

Mailing address

1403 Old Water Works Rd SW
Fort Payne, AL 35968-3353
Phone (256) 646-7246

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
I20260107003041 AL Practitioner - Nurse Practitioner 9638655822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1825 Glenn Blvd SW
Suite 343
Fort Payne, AL 35968-3533

PO Box
Suite 1473
Ashville, AL 35953

PO Box
Suite 43
Swartswood, NJ 07877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-136761ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Relief Spine and Pain Center LLC CurrentSince Oct 24, 2025 Accepting new patients

Locations

1403 Old Water Works Rd SW
Fort Payne, AL 35968
Phone (256) 646-7246

1825 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 845-5999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGEDD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1538031083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 OLD WATER WORKS RD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683353",
            "telephone_number": "256-646-7246",
            "fax_number": "256-304-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 OLD WATER WORKS RD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683353",
            "telephone_number": "256-646-7246",
            "fax_number": "256-304-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BRANDI",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-136761",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-136761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.