Individual provider Active NPI

Brandy Junkin, CRNP

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1902259443
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-091183 Issued in AL
Practice address
801 University Blvd E
Tuscaloosa, AL 35401-2029
Phone
(205) 759-7803
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-091183 AL Primary

Addresses

Primary practice location

801 University Blvd E
Tuscaloosa, AL 35401-2029

Mailing address

801 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7803

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
I20160811002504 AL Practitioner - Nurse Practitioner 7416241575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pickens County Primary Care, PCGroup PAC ID 1658597307, shared by 4 NPIs, 10 clinicians

Practice addresses (Care Compare)

108 4TH Ave SW
Suite a
Reform, AL 35481-8018
Phone (205) 375-6251

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pickens County Primary Care, PC CurrentSince Dec 30, 2019 Accepting new patients
Pickens County Primary Care, PC CurrentSince Oct 29, 2018 Accepting new patients
Pickens County Primary Care PC CurrentSince Oct 29, 2018 Accepting new patients
Pickens County Primary Care, P.C Current Accepting new patients

Locations

535 4th St NW
Gordo, AL 35466
Phone (205) 656-4872

630 4th St NW
Gordo, AL 35466
Phone (205) 364-0284

815 7th Ave SW
Reform, AL 35481
Phone (205) 375-2438

205 4th Ave SE
Reform, AL 35481
Phone (205) 375-2304

108 4th Ave SW
Ste A
Reform, AL 35481
Phone (205) 242-0580

Organizations & group practices 4

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1902259443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012029",
            "telephone_number": "205-759-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNKIN",
        "first_name": "BRANDY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-091183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.