Individual provider Active NPI

Trenton Reed Fondren, RN

  • Nurse Practitioner
  • Bessemer, AL
National Provider Identifier
1831792761
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-149882 Issued in AL
Practice address
975 9TH Ave SW Ste 310
Bessemer, AL 35022-7839
Phone
(205) 277-2358
NPI assigned
Nov 21, 2020
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-149882 AL Primary
Registered Nurse 163W00000X 1-149882 AL

Addresses

Primary practice location

975 9TH Ave SW Ste 310
Bessemer, AL 35022-7839

Mailing address

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Other practice location 1

1600 5th Ave S
Birmingham, AL 35233-1700
Phone (205) 638-9398

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221109000411 AL Practitioner - Nurse Practitioner 8224405956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

975 9TH Ave SW
Suite 320
Bessemer, AL 35022-7839
Phone (205) 277-2358

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-149882ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Oct 28, 2022 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Oct 28, 2022 Accepting new patients

Locations

1010 1st St N
Ste 350
Alabaster, AL 35007
Phone (205) 679-6326

975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358

975 9th Ave SW
Ste 320
Bessemer, AL 35022
Phone (205) 277-2358

1240 Cotton Ave SW
Birmingham, AL 35211

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944

801 Princeton Ave SW
Ste 505
Birmingham, AL 35211
Phone (205) 502-1300

160 4th St
Brent, AL 35034
Phone (205) 928-6045

1984 Main St
Brent, AL 35034
Phone (205) 928-3492

321 Whiskey Run Rd
Camden, AL 36726
Phone (334) 682-4128

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

1925 Avenue E
Ensley, AL 35218
Phone (205) 783-5164

1301 Highland Dr
Fairfield, AL 35064

301 61st St
Fairfield, AL 35064

4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353

610 Valley Rd
Fairfield, AL 35064
Phone (205) 277-2372

7000 Grasselli Rd
Fairfield, AL 35064
Phone (205) 791-5048

715 Valley Rd
Fairfield, AL 35064
Phone (205) 791-5048

1303 Washington St
Marion, AL 36756
Phone (334) 247-1006

319 Magnolia St
West Blocton, AL 35184
Phone (205) 928-3365

828 Cahaba River Dr
West Blocton, AL 35184

28921 Highway 5
Woodstock, AL 35188
Phone (205) 938-9348

Interoperability endpoints

  • Direct secure messaging: trent.fondren.1@11347.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1831792761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-926-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 9TH AVE SW STE 310",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350227839",
            "telephone_number": "205-277-2358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 5th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331700",
            "country_code": "US",
            "telephone_number": "205-638-9398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONDREN",
        "first_name": "TRENTON",
        "middle_name": "REED",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-21",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-149882",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-149882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bessemer, AL

Sources for this page

Verify at the official NPI Registry.