Individual provider Active NPI

Brennan Phillip Ellis, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1891452736
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-161961 Issued in AL
Practice address
513 Brookwood Blvd Ste 275
Birmingham, AL 35209-6806
Phone
(205) 502-4700
Fax
(877) 353-3589
NPI assigned
Nov 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-161961 AL
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1-161961 AL Primary

Addresses

Primary practice location

513 Brookwood Blvd Ste 275
Birmingham, AL 35209-6806

Mailing address

513 Brookwood Blvd Ste 275
Birmingham, AL 35209-6806
Phone (205) 502-4700

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
I20240816003229 AL Practitioner - Nurse Practitioner 2466990700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hematology and Oncology Associates of Alabama LLCGroup PAC ID 9830098516, shared by 3 NPIs, 10 clinicians

Practice addresses (Care Compare)

339 Walker Chapel Plaza
Suite 109
Birmingham, AL 35068-3402
Phone (205) 502-4700

513 Brookwood Blvd
Suite 275
Birmingham, AL 35209-6806
Phone (205) 502-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-161961ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology and Oncology Associates of Alabama, LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Hematology & Oncology Associates of Alabama LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients

Locations

339 Walker Chapel Plz
Ste 109
Fultondale, AL 35068
Phone (205) 380-7878

513 Brookwood Blvd
Ste 275
Homewood, AL 35209
Phone (205) 502-4700

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.

NPI Registry JSON

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1891452736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD STE 275",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096806",
            "telephone_number": "205-502-4700",
            "fax_number": "877-353-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BROOKWOOD BLVD STE 275",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096806",
            "telephone_number": "205-502-4700",
            "fax_number": "877-353-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "BRENNAN",
        "middle_name": "PHILLIP",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-28",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-161961",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-161961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.