NPIMap

Brenton Lee Albritton, NP-C

Individual provider Active NPI Family Nurse Practitioner · Marion, LA

NPI 1770065799 · NPPES record last updated Apr 9, 2024

Key facts

NPI
1770065799
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP10188 (LA)
Practice address
335 Main St
Marion, LA 71260-5253
Phone
(318) 292-2795
Fax
(318) 292-2785
NPI assigned
Sep 6, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morehouse Community Medical Centers, Inc. (27 clinicians)

Practice addresses (Care Compare)

518 Durham St
Bastrop, LA 71220-5013
Phone (318) 283-8887

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181030000563 LA Practitioner - Nurse Practitioner 4082967609 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10188LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc. Nurse Practitioner Current
since Sep 14, 2018		 Accepting new patients
Morehouse Community Medical Centers, Inc. Current
since Sep 14, 2018		 Accepting new patients
Morehouse Community Medical Centers, Inc Family Past Accepting new patients

Locations

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

501 Durham St
Bastrop, LA 71220
Phone (318) 281-2008

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10188 LA Yes

Addresses

Primary practice location

335 Main St
Marion, LA 71260-5253

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Other identifiers

IdentifierTypeStateIssuer
723772OtherLAFAMILY NURSE PRACTITIONER
2488520MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2024.

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1770065799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MAIN ST",
            "city": "MARION",
            "state": "LA",
            "postal_code": "712605253",
            "telephone_number": "318-292-2795",
            "fax_number": "318-292-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRITTON",
        "first_name": "BRENTON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "723772",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2488520",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, LA

All providers in Marion, LA · Family Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.