Individual provider Active NPI

Brittany Leigh Brakefield, FNP-C

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1659890945
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-141909 Issued in AL
Practice address
3809 Sullivan St Ste 7
Madison, AL 35758-2366
Phone
(256) 428-1096
Fax
(256) 428-1098
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 1-141909 AL Primary

Addresses

Primary practice location

3809 Sullivan St Ste 7
Madison, AL 35758-2366

Mailing address

3809 Sullivan St Ste 7
Madison, AL 35758-2366
Phone (256) 428-1096

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
I20180719003860 AL Practitioner - Nurse Practitioner 0345597423

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Valley Internal Medicine, PC CurrentSince Jan 28, 2018 Accepting new patients
Blossomwood Medical PC PastSince Feb 14, 2019 Accepting new patients
Premier Urgent Care Inc. PastSince Jan 12, 2020 Accepting new patients

Locations

3809 Sullivan St
Ste 7
Madison, AL 35758
Phone (256) 428-1096

382 Slaughter Rd
Madison, AL 35758
Phone (256) 428-1096

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12253/brand/1/csg/1/fhir/r4

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, 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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659890945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 SULLIVAN ST STE 7",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582366",
            "telephone_number": "256-428-1096",
            "fax_number": "256-428-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 SULLIVAN ST STE 7",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582366",
            "telephone_number": "256-428-1096",
            "fax_number": "256-428-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKEFIELD",
        "first_name": "BRITTANY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-141909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.