Individual provider Active NPI

Keisha Brown, OD

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1538712435
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T-248-TA-C08 Issued in AL
Practice address
1716 University Blvd
G080A
Birmingham, AL 35294-0010
Phone
(205) 975-2020
Fax
(205) 934-6755
NPI assigned
Jul 19, 2019
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5364 MA
Optometrist 152W00000X T-248-TA-C08 AL Primary

Addresses

Primary practice location

1716 University Blvd
G080A
Birmingham, AL 35294-0010

Mailing address

55 Dimock St
Roxbury, MA 02119-1029
Phone (617) 442-8800

Other practice location 1

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Other practice location 2

1509 6th Ave S
Birmingham, AL 35233-1601
Phone (205) 930-3200

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121001127 AL Practitioner - Optometry 6204261886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

1308 Tuscaloosa Ave SW
Birmingham, AL 35211-1948
Phone (205) 926-2992

1716 University Blvd
Birmingham, AL 35233-1816
Phone (205) 934-3899

1720 University Blvd
Birmingham, AL 35233-1816
Phone (205) 731-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Jan 12, 2021 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Cahaba Medical Care Foundation Current Accepting new patients
Cahaba Medical Care Foundation CurrentSince Jan 12, 2021 Accepting new patients
University of Alabama at Birmingham CurrentSince Nov 13, 2020 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Nov 13, 2020 Accepting new patients

Locations

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
Birmingham, AL 35294

1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748

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

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4
  • Direct secure messaging: keisha.brown.1@11347.direct.athenahealth.com

Organizations & group practices 6

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1538712435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DIMOCK ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021191029",
            "telephone_number": "617-442-8800",
            "fax_number": "617-442-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 UNIVERSITY BLVD",
            "address_2": "G080A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940010",
            "telephone_number": "205-975-2020",
            "fax_number": "205-934-6755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Belcher St",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "AL",
            "postal_code": "350422946",
            "country_code": "US",
            "telephone_number": "205-926-2992",
            "fax_number": "205-316-7675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331601",
            "country_code": "US",
            "telephone_number": "205-930-3200",
            "fax_number": "205-930-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KEISHA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5364",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "T-248-TA-C08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.