Individual provider Active NPI

Brittany Nguyen

  • Women's Health Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1932608809
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
363LW0102X Issued in AL
Practice address
2807 Greystone Commercial Blvd Unit 38
Birmingham, AL 35242-9601
Phone
(205) 995-1009
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 363LW0102X AL Primary

Addresses

Primary practice location

2807 Greystone Commercial Blvd Unit 38
Birmingham, AL 35242-9601

Mailing address

2807 Greystone Commercial Blvd
Unit 38
Birmingham, AL 35242-9601
Phone (205) 995-1009

Other practice location 1

1175 23rd St N
Pell City, AL 35125-9310
Phone (205) 338-3357

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
I20201007000234 AL Practitioner - Nurse Practitioner 6800215005 Reassigns benefits to 1 organization

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
Mibella Gynecology, LLCGroup PAC ID 0547456196, 3 clinicians

Practice addresses (Care Compare)

2807 Greystone Commercial Blvd
Suite 38
Hoover, AL 35242-9601
Phone (205) 995-1009

2807 Greystone Commercial Boulevard
Unit 38
Birmingham, AL 35242-9601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
363LW0102XALMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mibella Gynecology, LLC CurrentSince Aug 10, 2020 Accepting new patients

Locations

3000 Meadow Lake Dr
Ste 101
Hoover, AL 35242
Phone (205) 855-5575

2807 Greystone Commercial Blvd
Ste 38
Hoover, AL 35242
Phone (205) 578-8652

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1932608809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 GREYSTONE COMMERCIAL BLVD",
            "address_2": "UNIT 38",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429601",
            "telephone_number": "205-995-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 GREYSTONE COMMERCIAL BLVD UNIT 38",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352429601",
            "telephone_number": "205-995-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1175 23rd St N",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351259310",
            "country_code": "US",
            "telephone_number": "205-338-3357",
            "fax_number": "205-338-4863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "363LW0102X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.