Active NPI
Brian Wingate, CRNP
- Family Nurse Practitioner
- Birmingham, AL
National Provider Identifier
1821473513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-128567
- Practice address
- 2817 30TH Ave N
Birmingham, AL 35207-4541 - Phone
- (205) 407-5600
- NPI assigned
- Jul 23, 2015
- 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 Nurse Practitioner | 363LF0000X | 1-128567 | AL | Primary |
Addresses
Primary practice location
2817 30TH Ave N
Birmingham, AL 35207-4541
Mailing address
2817 30TH Ave N
Birmingham, AL 35207-4541
Phone (205) 407-5600
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-128567 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Urgent Care of Alabama LLC | Current | Accepting new patients |
Locations
195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455
210 Fieldstown Rd
Ste 124
Gardendale, AL 35071
Phone (205) 285-8252
Interoperability endpoints
- https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316201809
-
- Urgent Care Clinic/Center
- Gardendale, AL
- NPI 1962840728
-
- Multi-Specialty Clinic/Center
- Centreville, AL
- NPI 1093058133
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316542624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1821473513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 30TH AVE N",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352074541",
"telephone_number": "205-407-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 30TH AVE N",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352074541",
"telephone_number": "205-407-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGATE",
"first_name": "BRIAN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-23",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-128567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.