Individual provider Active NPI

Brett R Sprouse, DO, MBA

  • Sports Medicine (Family Medicine) Physician
  • Auburn, AL
National Provider Identifier
1558711986
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DO.2012 Issued in AL
Practice address
349 South Donahue Dr Suite 200
Auburn, AL 36849-4256
Phone
(334) 844-9919
NPI assigned
Jun 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X DO.2012 AL Primary

Addresses

Primary practice location

349 South Donahue Dr Suite 200
Auburn, AL 36849-4256

Mailing address

349 South Donahue Dr Suite 200
Auburn, AL 36849-4256
Phone (334) 844-9919

Other practice location 1

2353 Bent Creek Rd Ste 110
Auburn, AL 36830-6482
Phone (334) 887-8707

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brettsprouse@apaam.allscriptsdirect.net Direct

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
I20201005000039 AL Practitioner - Family PracticePractitioner - Sports Medicine 1850670159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Pediatric and Adult Medicine, L.L.C.Group PAC ID 1557452752, 18 clinicians

Practice addresses (Care Compare)

2353 Bent Creek Rd
Suite 110
Auburn, AL 36830-6482
Phone (334) 887-8707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Pediatric and Adult Medicine, L.L.C. CurrentSince Sep 1, 2020 Accepting new patients

Locations

2353 Bent Creek Rd
Ste 110
Auburn, AL 36830
Phone (334) 887-8707

560 Devall Dr
Ste 201
Auburn, AL 36832
Phone (334) 887-8707

Interoperability endpoints

  • Direct secure messaging: brettsprouse@apaam.allscriptsdirect.net

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1558711986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 SOUTH DONAHUE DR SUITE 200",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368494256",
            "telephone_number": "334-844-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 SOUTH DONAHUE DR SUITE 200",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368494256",
            "telephone_number": "334-844-9919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2353 Bent Creek Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368306482",
            "country_code": "US",
            "telephone_number": "334-887-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPROUSE",
        "first_name": "BRETT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DO, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "DO.2012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brettsprouse@apaam.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2353 Bent Creek Rd Ste 110",
            "city": "Auburn",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368306482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.