Individual provider Active NPI

Brianne Smith, NP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1679918189
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-184044 Issued in AL
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.

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 9 clinicians

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
RN195010GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Regional Medical Services CurrentSince Mar 6, 2024 Accepting new patients
Alabama Regional Medical Services CurrentSince Mar 6, 2024 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)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-184044 AL Primary
Family Nurse Practitioner 363LF0000X RN195010 GA

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
304081MedicaidAL
305411MedicaidAL
302414MedicaidAL

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

Verify at the official NPI Registry.