Individual provider Active NPI

Brenda Gilmore, CNM

  • Advanced Practice Midwife
  • Spring Hill, FL
National Provider Identifier
1851485486
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
9305341 Issued in FL
Practice address
11175 County Line Rd
Spring Hill, FL 34609-5615
Phone
(352) 686-8884
Fax
(352) 684-6888
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 9305341 FL Primary

Addresses

Primary practice location

11175 County Line Rd
Spring Hill, FL 34609-5615

Mailing address

11175 County Line Rd
Spring Hill, FL 34609-5615
Phone (352) 686-8884

Other identifiers 1

IdentifierTypeStateIssuer
005960700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200302001029 CT Practitioner - Certified Nurse Midwife (CNM) 0840322004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

428 Hartford Tpke
Suite 201
Vernon, CT 06066-4841
Phone (860) 871-7374

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
000201CTMDOccupational Therapist
9305341FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 13, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 13, 2020 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

47 Palomba Dr
Ste 201
Enfield, CT 06082
Phone (860) 272-2930

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1000 Asylum Ave
Rm 1026
Hartford, CT 06105
Phone (860) 714-4332

428 Hartford Tpke
Ste 201
Vernon, CT 06066
Phone (860) 871-7374

Interoperability endpoints

  • Direct secure messaging: bgilmore2388780@direct.trinity-health.org

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.

Hospital & facility affiliations 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1851485486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 COUNTY LINE RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095615",
            "telephone_number": "352-686-8884",
            "fax_number": "352-684-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11175 COUNTY LINE RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095615",
            "telephone_number": "352-686-8884",
            "fax_number": "352-684-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "BRENDA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9305341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005960700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.