Brian Roland Pettie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-A54-TA-634 Issued in AL

Practice address

9248 Parkway E
Birmingham, AL 35206-1509

Phone

(205) 833-3171

Fax

(205) 833-3059

NPI assigned

Aug 24, 2006

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

Other identifiers 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooper Green Mercy Health Services Authority an Affiliate of UabGroup PAC ID 0840629473, 95 clinicians

University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Dr. Brian R. Pettie Eyecare, PC

  • Optometrist
  • Irondale, AL
  • NPI 1215135967
  Medicare reassignment NPD Authorized official
• University of Alabama at Birmingham

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1184738478
  Medicare reassignment Care Compare group NPD
• Cooper Green Mercy Health Services Authority an Affiliate of Uab

  • Clinic/Center
  • Birmingham, AL
  • NPI 1366073108
  Medicare reassignment Care Compare group
• The University of Alabama at Birmingham

  • Optometrist
  • Birmingham, AL
  • NPI 1487677811
  NPD
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1891802120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9248 PARKWAY E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061509",
            "telephone_number": "205-833-3171",
            "fax_number": "205-833-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9248 PARKWAY E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352061509",
            "telephone_number": "205-833-3171",
            "fax_number": "205-833-3059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331601",
            "country_code": "US",
            "telephone_number": "205-930-3200",
            "fax_number": "205-930-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIE",
        "first_name": "BRIAN",
        "middle_name": "ROLAND",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-A54-TA-634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51538863",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51532635",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Petrunic, CRNA
• Savannah Sally Petrus, MD
• Susan Petrus, CD, LCCE
• Sarah Dabney Petrusnek, RN
• Ashley Pettaway, MD
• Laquetta Nicol Pettway, MD
• Michelle Pettway
• Ashley Petty-Burnley, DNP, NP-C
• Margaret Tanner Petty, RBT
• Eleanor Kalan Petyak, MD

• Optometrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.