NPIMap

Individual provider Active NPI

Brent G Ballard, M.D.

  • Family Medicine Physician
  • Winfield, AL
National Provider Identifier
1912226945
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31218 Issued in AL
Practice address
2775 US Highway 43
Winfield, AL 35594-5263
Phone
(205) 487-2066
Fax
(205) 487-0383
NPI assigned
Jun 1, 2010
Last updated
Apr 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31218 AL Primary

Addresses

Primary practice location

2775 US Highway 43
Winfield, AL 35594-5263

Mailing address

2775 US Highway 43
Winfield, AL 35594-5263
Phone (205) 487-2066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000729 AL Practitioner - Family Practice 9133394281 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2775 US Hwy 43
Winfield, AL 35594-5263
Phone (205) 487-2066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.13 of 100Reported as individual
Quality
92.89
Improvement activities
40
Cost
65.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31218ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medcenter Demopolis, LLC Family Medicine CurrentSince Apr 1, 2012 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jan 9, 2012 Accepting new patients
Urgent Care Northwest PC Family Medicine CurrentSince May 12, 2026 Accepting new patients
App of Alabama Ed PLLC CurrentSince Mar 5, 2013 Accepting new patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Jan 9, 2012 Accepting new patients
BFM Enterprises, LLC Family Medicine CurrentSince May 10, 2013 Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

705 US Highway 80 W
Demopolis, AL 36732
Phone (205) 333-1993

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

3909 McFarland Blvd
Northport, AL 35476
Phone (205) 330-1707

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405
Phone (205) 333-4654

2775 US Highway 43
Winfield, AL 35594
Phone (205) 487-2066

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFGCDA/Endpoint/EFGCDA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1912226945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945263",
            "telephone_number": "205-487-2066",
            "fax_number": "205-487-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 US HIGHWAY 43",
            "city": "WINFIELD",
            "state": "AL",
            "postal_code": "355945263",
            "telephone_number": "205-487-2066",
            "fax_number": "205-487-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLARD",
        "first_name": "BRENT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "31218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, AL

Sources for this page

Verify at the official NPI Registry.