Bryan Wimbish, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-134136 Issued in AL

Practice address

1031 Brocks Gap Pkwy Ste 185
Hoover, AL 35244-4078

Phone

(205) 352-2911

Fax

(205) 352-2910

NPI assigned

Jan 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Emory University School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosports1St PCGroup PAC ID 8729402037, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Orthosports1St PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hoover, AL
  • NPI 1730701673
  Medicare reassignment Care Compare group NPD
• Orthosports1St Ga

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Kennesaw, GA
  • NPI 1326844689
  Medicare reassignment NPD Authorized official
• Trinity Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1487669016
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment
• Orthosports1St PC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Madison, AL
  • NPI 1184438855
  NPD
• Trinity Emergency Physicians LLC

  • Emergency Medicine Physician
  • Trussville, AL
  • NPI 1326750589
  NPD

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1891203873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BROCKS GAP PKWY",
            "address_2": "STE 185",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 BROCKS GAP PKWY STE 185",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444078",
            "telephone_number": "205-352-2911",
            "fax_number": "205-352-2910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Chelsea Point Dr",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "AL",
            "postal_code": "350434100",
            "country_code": "US",
            "telephone_number": "205-453-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBISH",
        "first_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-134136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Wilsman, DPT
• Camden Wilson, FNP
• Danyelle Wilson
• Jamie McCloskey Wilson, OTR/L
• Mark Wilson, PT
• Margaret Katherine Winkler, M.D.
• Danielle Winkles
• Laura Mixon Winkles, M.S., ALC, NCC
• George Arthur Winslow, O.T.
• Wise Mind Psychotherapy, LLC

• Family Nurse Practitioner in Hoover, AL
• Providers in Hoover, 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 Jul 30, 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.
• 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.