Individual provider Active NPI

Michael L McBrearty, MD

  • Family Medicine Physician
  • Fairhope, AL
National Provider Identifier
1689655052
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6713 Issued in AL
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

Updated by the provider on May 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
051004068OtherALBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000186 AL Practitioner - Family Practice 9234022906 Reassigns benefits to 1 organization

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 Hospital, Fairhope, AL, CCN 010100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6713ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Specialist LLC CurrentSince Feb 1, 2015 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.

Hospital & facility affiliations 1

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

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

Verify at the official NPI Registry.