Active NPI
Brielle Phoenix, CRNP
- Family Nurse Practitioner
- Tuscaloosa, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3001765
- Practice address
- 5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698 - Phone
- (205) 343-2225
- Fax
- (205) 343-7825
- NPI assigned
- May 30, 2024
- Sex
- Female
- 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 Nurse Practitioner | 363LF0000X | 3001765 | AL | Primary |
Addresses
Primary practice location
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Mailing address
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698
Phone (205) 343-2225
Other practice location 1
4960 Rice Mine Rd NE Ste 10
Tuscaloosa, AL 35406-3136
Phone (205) 333-9467
Other practice location 2
3909 McFarland Blvd
Northport, AL 35476-2838
Phone (205) 333-1993
Other practice location 3
122 17th Ct NE
Fayette, AL 35555-1353
Phone (502) 932-7777
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone (205) 838-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3001765 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcenter Demopolis, LLC | Current | Accepting new patients | |
| Medcenter Fayette, LLC | Family | Current | Accepting new patients |
| Hospital Medicine Associates LLC | Current | Accepting new patients | |
| Tuscaloosa Medcenter South, LLC | Current | Accepting new patients | |
| Tuscaloosa Medcenter North, LLC | Current | Accepting new patients | |
| Urgent Care Northwest PC | Current | Accepting new patients | |
| Medcenter Primary Care, LLC | Family | Current | Accepting new patients |
| Urgent Care Northwest PC | Past | Accepting new patients | |
| Urgent Care Northwest PC | Past | Accepting new patients | |
| Urgent Care Northwest PC | Past | Accepting new patients |
Locations
50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
705 US Highway 80 W
Demopolis, AL 36732
Phone (205) 333-1993
122 17th Ct NE
Fayette, AL 35555
Phone (205) 330-1707
1199 Highway 31 NW
Ste F
Hartselle, AL 35640
Phone (256) 965-3010
14731 Highway 231 431 N
Ste C
Hazel Green, AL 35750
Phone (938) 246-8010
5800 Oakwood Rd NW
Ste A
Huntsville, AL 35806
Phone (938) 259-3010
2708 Highway 78 E
Jasper, AL 35501
Phone (205) 387-2253
7129 Wall Triana Hwy
Ste C
Madison, AL 35757
Phone (938) 310-5010
3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707
5005 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 333-4654
4960 Rice Mine Rd NE
Ste 10
Tuscaloosa, AL 35406
Phone (205) 333-9467
Interoperability endpoints
- https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4
Organizations & group practices 10
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
- Demopolis, AL
- NPI 1184913030
-
- Family Medicine Physician
- Fayette, AL
- NPI 1235590001
-
- Family Medicine Physician
- Northport, AL
- NPI 1922546357
-
- Family Medicine Physician
- Northport, AL
- NPI 1972518777
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1689689481
-
- Family Medicine Physician
- Jasper, AL
- NPI 1548456494
-
- Family Medicine Physician
- Hazel Green, AL
- NPI 1508749342
-
- Family Medicine Physician
- Huntsville, AL
- NPI 1881577625
-
- Family Medicine Physician
- Hartselle, AL
- NPI 1942183785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1699515338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 OSCAR BAXTER DR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354053698",
"telephone_number": "205-343-2225",
"fax_number": "205-343-7825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 OSCAR BAXTER DR",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354053698",
"telephone_number": "205-343-2225",
"fax_number": "205-343-7825"
}
],
"practiceLocations": [
{
"address_1": "4960 Rice Mine Rd NE Ste 10",
"address_purpose": "LOCATION",
"city": "Tuscaloosa",
"state": "AL",
"postal_code": "354063136",
"country_code": "US",
"telephone_number": "205-333-9467",
"fax_number": "205-758-1435",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3909 McFarland Blvd",
"address_purpose": "LOCATION",
"city": "Northport",
"state": "AL",
"postal_code": "354762838",
"country_code": "US",
"telephone_number": "205-333-1993",
"fax_number": "205-333-0293",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "122 17th Ct NE",
"address_purpose": "LOCATION",
"city": "Fayette",
"state": "AL",
"postal_code": "355551353",
"country_code": "US",
"telephone_number": "502-932-7777",
"fax_number": "205-932-8880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHOENIX",
"first_name": "BRIELLE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3001765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.