Brenda L Casselberry

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

132 Issued in AL

Legal business name

BRENDA L CASSELBERRY

Doing business as

Auburn Opelika Ambulatory-Surg Center

Practice address

2121 Executive Park Dr
Opelika, AL 36801-6041

Phone

(334) 705-0544

Fax

(334) 705-0531

NPI assigned

Jan 30, 2008

Last updated

Jan 7, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

BRENDA L CASSELBERRYAs reported in NPPES

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

Authorized official

Name

Dr. Brenda L Casselberry, DPM

Title

Physician / President

Phone

(334) 705-0544

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Auburn Opelika Ambulatory-Surg Center Doing business as

Part of

Brenda L Casselberry

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda L Rasberry - Casselberry, DPM

  • Podiatrist
  • Opelika, AL
  • NPI 1750484358
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1568649754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368311268",
            "telephone_number": "334-705-0544",
            "fax_number": "334-705-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EXECUTIVE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016041",
            "telephone_number": "334-705-0544",
            "fax_number": "334-705-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA L CASSELBERRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRENDA L CASSELBERRY",
        "enumeration_date": "2008-01-30",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "CASSELBERRY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN / PRESIDENT",
        "authorized_official_telephone_number": "334-705-0544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "132",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "132",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - TUSKEGEE",
            "identifier": "51540360",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - INDIVIDUAL",
            "identifier": "1750484358",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE R/R",
            "identifier": "480013769",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - OPELIKA",
            "identifier": "51540725",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529912550",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO - GBA DMERC OPER",
            "identifier": "5043300001",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Opelika Ambulatory-Surg Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Kay Brannen, M.ED., BCBA
• David Anthony Brannon, CRNA
• Heather Lee Brasher, CRNP
• Stephanie Klouda Braswell
• Jason Breaux, CRNP
• Matthew Randel Brewer, DDS
• James G. Bridges, DO
• Michael Duwayne Bridges
• Jon E Bridgman, RN
• Sarah Elizabeth Britton, PHARMD

• Ambulatory Surgical Clinic/Center in Opelika, AL
• Providers in Opelika, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.