Individual provider Active NPI

Brittany C Clark, FNP-BC

  • Family Nurse Practitioner
  • Oxford, AL
National Provider Identifier
1598159147
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-196111 Issued in AL
Practice address
1419 Hamric Dr E Ste 101
Oxford, AL 36203-2174
Phone
(256) 235-3660
Fax
(256) 235-3663
NPI assigned
Mar 21, 2015
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-196111 AL Primary

Addresses

Primary practice location

1419 Hamric Dr E Ste 101
Oxford, AL 36203-2174

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other names 1

  • Brittany Sciullo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Brittany.Clark@forefrontdermatology.emadirect.md

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
I20250407000733 AL Practitioner - Nurse Practitioner 0446555171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1419 Hamric Dr E
Suite 101
Oxford, AL 36203-2174
Phone (256) 235-3660

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Mar 23, 2025 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Mar 23, 2025 Accepting new patients
Forefront Dermatology, S.C. Current Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

580 Providence Park Dr E
Fl 2
Mobile, AL 36695
Phone (251) 631-3570

1419 Hamric Dr E
Ste 101
Oxford, AL 36203
Phone (256) 235-3660

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: brittany.clark@forefrontdermatology.emadirect.md

Organizations & group practices 4

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": "1426896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1598159147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 HAMRIC DR E STE 101",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362032174",
            "telephone_number": "256-235-3660",
            "fax_number": "256-235-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BRITTANY",
        "middle_name": "C",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-21",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-196111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brittany.Clark@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1419 Hamric Dr E Ste 101",
            "city": "Oxford",
            "state": "AL",
            "country_code": "US",
            "postal_code": "362032174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "SCIULLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxford, AL

Sources for this page

Verify at the official NPI Registry.