Kendall Bruns Whigham, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-162559 Issued in AL

Practice address

4402 Old Shell Rd
Mobile, AL 36608-1912

Phone

(251) 633-0123

NPI assigned

Jan 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kendall Elaine Bruns Other name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gmuc of SaralandGroup PAC ID 8820211436, 39 clinicians

Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians

Gmuc of Springhill LLCGroup PAC ID 6901091156, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Gmuc of Saraland

  • Family Medicine Physician
  • Saraland, AL
  • NPI 1396161758
  Medicare reassignment Care Compare group NPD
• Gmuc of Springhill LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1952617508
  Medicare reassignment Care Compare group NPD
• Greater Mobile Urgent Care

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801063938
  Medicare reassignment Care Compare group NPD
• Gmuc of Citronelle LLC

  • Family Medicine Physician
  • Citronelle, AL
  • NPI 1164794343
  Medicare reassignment NPD
• Greater Mobile Urgent Care

  • Family Medicine Physician
  • Semmes, AL
  • NPI 1275848095
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1871246140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081912",
            "telephone_number": "251-633-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIGHAM",
        "first_name": "KENDALL",
        "middle_name": "BRUNS",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-162559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALL",
            "last_name": "BRUNS",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Noah Brice Whetstone, M.D.
• Courtney Schmerbauch Whidby, PA-C
• Wanda Lynn Whiddon
• Demetria Lashay Whigham
• Jennifer Ann Whigham
• George A. Whillock, RN
• Kayla N Whisnant
• Chuck P Whisonant, R.PH.
• Dustin Lee Whitaker, MD
• Suanne White-Spunner, MD

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.

Verify at the official NPI Registry.