Active NPI
Gina M Brewer, CRNP
- Nurse Practitioner
- Florence, AL
National Provider Identifier
1851330690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1082739
- Practice address
- 3600 County Road 61
Florence, AL 35634-6640 - Phone
- (256) 740-6674
- Fax
- (256) 740-6676
- NPI assigned
- Jun 6, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1082739 | AL | Primary |
Addresses
Primary practice location
3600 County Road 61
Florence, AL 35634-6640
Mailing address
2110 County Road 37
Florence, AL 35634-3704
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891017080 | Medicaid | AL | |
| 5765882 | Other | UT | FIRST HEALTH |
| P00381660 | Other | SC | MEDICARE RAILROAD |
| 051539045 | Other | AL | BLUE CROSS |
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, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 County Rd
Suite 61
Florence, AL 35634-6640
Phone (256) 740-6674
Hospital & facility affiliations
- Centerwell Home Health
- Preferred Home Health
- North Alabama Medical Center
- Helen Keller Hospital
- Huntsville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1082739 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Florian Clinic, Inc. | Current | Accepting new patients | |
| Eyecare Plus LLC | Past | Accepting new patients |
Locations
3600 County Road 61
Florence, AL 35634
Phone (256) 740-6674
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Florence, AL
- NPI 1346544095
-
- Corneal and Contact Management Optometrist
- Peachtree City, GA
- NPI 1245429539
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sheffield, AL
- NPI 1508952235
-
- Home Health Agency
- Moulton, AL
- NPI 1376572081
-
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
-
- Home Health Agency
- Florence, AL
- NPI 1477806859
-
- General Acute Care Hospital
- Huntsville, AL
- NPI 1447221056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1851330690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 COUNTY ROAD 37",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356343704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 COUNTY ROAD 61",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356346640",
"telephone_number": "256-740-6674",
"fax_number": "256-740-6676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "GINA",
"middle_name": "M",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1082739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891017080",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5765882",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00381660",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "051539045",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.