Active NPI
Michael L McBrearty, MD
- Family Medicine Physician
- Fairhope, AL
National Provider Identifier
1689655052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6713
- Practice address
- 8367 Morphy Ave
Ste B
Fairhope, AL 36532-3653 - Phone
- (251) 410-6334
- Fax
- (251) 410-6466
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 6713 | AL | Primary |
Addresses
Primary practice location
8367 Morphy Ave
Ste B
Fairhope, AL 36532-3653
Mailing address
8367 Morphy Ave
Ste B
Fairhope, AL 36532-3653
Phone (251) 410-6334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051004068 | Other | AL | BLUE CROSS PROVIDER NO |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8367 Morphy Ave
Suite B
Fairhope, AL 36532-3653
Phone (251) 410-6334
Hospital & facility affiliations
- Thomas Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6713 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Specialist LLC | Current | Accepting new patients |
Locations
8367 Morphy Ave
#B
Fairhope, AL 36532
Phone (251) 410-6334
Networks
- bcbs alabama network 01G0
- bcbs alabama network 01C0
- bcbs alabama network 01H0
- bcbs alabama network 01B0
- bcbs alabama network 01E0
Organizations & group practices 1
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.
-
- Legal Medicine
- Fairhope, AL
- NPI 1043618226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairhope, AL
- NPI 1447303227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495584000000",
"number": "1689655052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8367 MORPHY AVE",
"address_2": "STE B",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323653",
"telephone_number": "251-410-6334",
"fax_number": "251-410-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8367 MORPHY AVE",
"address_2": "STE B",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323653",
"telephone_number": "251-410-6334",
"fax_number": "251-410-6466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBREARTY",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2017-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "6713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NO",
"identifier": "051004068",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; 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.