Susan C Brame, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R644986 Issued in MS

Practice address

9066 Highland St
Olive Branch, MS 38654-2307

Phone

(662) 890-7717

Fax

(662) 874-6038

NPI assigned

Apr 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Old Towne Medical LLCGroup PAC ID 9032434881, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
• Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167
• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15038/brand/1/csg/1/fhir/r4
• Direct secure messaging: oldtownemedical@direct.meditouchehr.com
• Direct secure messaging: susan.brame.1@15038.direct.athenahealth.com

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.

• Old Towne Medical LLC

  • Family Nurse Practitioner
  • Olive Branch, MS
  • NPI 1013312172
  Medicare reassignment Care Compare group NPD Authorized official
• Stonebridge Medical Group, PLC

  • Adult Health Nurse Practitioner
  • Jackson, TN
  • NPI 1487977369
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  Care Compare affiliation
• Methodist Healthcare - Olive Branch Hospital

  • General Acute Care Hospital
  • Olive Branch, MS
  • NPI 1912341439
  Care Compare affiliation
• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659336196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9066 HIGHLAND ST",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542307",
            "telephone_number": "662-890-7717",
            "fax_number": "662-874-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9066 HIGHLAND ST",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386542307",
            "telephone_number": "662-890-7717",
            "fax_number": "662-874-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAME",
        "first_name": "SUSAN",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "R644986",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R644986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121759",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sondra Bowen
• Traci D Bowen
• Taylor Breanne Bowers, CF-SLP
• Jordan Boyd
• Bradley M Stewart DMD LLC
• Yolanda Brannon, DC
• Jazmine Briggs
• Fredricca Jazzman Brock, BCBA
• Brown Family Retina
• Barbara Brown, LPC-MHSP

• Family Nurse Practitioner in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.