Individual provider Active NPI

David Paul Harrison Brandt, NURSE PRACTITIONER

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1558129205
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-129068 Issued in AL
Practice address
3700 Cahaba Beach Rd
Birmingham, AL 35242-5225
Phone
(205) 421-2088
Fax
(205) 278-7660
NPI assigned
Mar 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-129068 AL Primary

Addresses

Primary practice location

3700 Cahaba Beach Rd
Birmingham, AL 35242-5225

Mailing address

4548 Blairmont Dr SE
Owens Cross Roads, AL 35763-8014
Phone (256) 651-4757

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
I20240509002137 AL Practitioner - Nurse Practitioner 1456792373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

366 E Meighan Blvd
Gadsden, AL 35903-1049
Phone (256) 485-0982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Apr 2, 2024 Accepting new patients
American Family Care, LLC CurrentSince Apr 2, 2024 Accepting new patients
American Family Care, LLC Current Accepting new patients

Locations

366 E Meighan Blvd
Gadsden, AL 35903
Phone (256) 485-0982

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1558129205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4548 BLAIRMONT DR SE",
            "city": "OWENS CROSS ROADS",
            "state": "AL",
            "postal_code": "357638014",
            "telephone_number": "256-651-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 CAHABA BEACH RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425225",
            "telephone_number": "205-421-2088",
            "fax_number": "205-278-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON BRANDT",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-129068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.