Active NPI
Brianne Smith, NP
- Family Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-184044
- Practice address
- 712 25TH St N
Birmingham, AL 35203-2400 - Phone
- (205) 407-6900
- Fax
- (205) 439-7248
- NPI assigned
- May 10, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1093119109
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1699179440
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1760956148
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1033765888
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alabama Regional Medical Services
Practice addresses (Care Compare)
712 25TH St N
Birmingham, AL 35203-2400
Phone (205) 323-5311
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626000960 | AL | Practitioner - Nurse Practitioner | 6204079676 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN195010 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Regional Medical Services | Current | Accepting new patients | |
| Alabama Regional Medical Services | Current | Accepting new patients |
Locations
2817 30th Ave N
Birmingham, AL 35207
Phone (205) 323-4548
712 25th St N
Birmingham, AL 35203
Phone (205) 323-5311
417 19th Street Ensley
Ensley, AL 35218
Phone (205) 547-2344
7001 Crestwood Blvd
Ste 822
Irondale, AL 35210
Phone (205) 421-9615
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-184044 | AL | Primary |
| Family Nurse Practitioner | 363LF0000X | RN195010 | GA |
Addresses
NPPES NPI RegistryPrimary practice location
712 25TH St N
Birmingham, AL 35203-2400
Mailing address
PO Box 11526
Birmingham, AL 35202-1526
Phone (205) 903-9375
Other practice location 1
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-2800
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304081 | Medicaid | AL | |
| 305411 | Medicaid | AL | |
| 302414 | Medicaid | AL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2024.
{
"created_epoch": "1368144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1679918189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11526",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352021526",
"telephone_number": "205-903-9375",
"fax_number": "855-634-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 25TH ST N",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352032400",
"telephone_number": "205-407-6900",
"fax_number": "205-439-7248"
}
],
"practiceLocations": [
{
"address_1": "1968 Peachtree Rd NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091281",
"country_code": "US",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "BRIANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-10",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-184044",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN195010",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304081",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305411",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302414",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.