Individual provider Active NPI

Benjamin Brannick

  • Podiatrist
  • Hoover, AL
National Provider Identifier
1932693140
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
362 Issued in AL
Practice address
2057 Valleydale Rd Ste 109
Hoover, AL 35244-2707
Phone
(205) 822-8038
Fax
(205) 822-8040
NPI assigned
Jun 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 362 AL Primary

Addresses

Primary practice location

2057 Valleydale Rd Ste 109
Hoover, AL 35244-2707

Mailing address

2057 Valleydale Rd Ste 109
Hoover, AL 35244-2707
Phone (205) 822-8038

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210720001002 AL Practitioner - Podiatry 2365845047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Vital Path Care PCGroup PAC ID 8022532613, 52 clinicians

Practice addresses (Care Compare)

2057 Valleydale Rd
Suite 109
Hoover, AL 35244-2707
Phone (205) 822-8038

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue167
Removal of nail tissue1434
Removal or shaving of skin growth486
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
362ALMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Path Care PC Podiatrist CurrentSince Feb 24, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Jul 1, 2021 Accepting new patients
Upperline Healthcare, PC Podiatrist CurrentSince Jul 1, 2021 Accepting new patients
Euler Clinic Inc Past Accepting new patients

Locations

1976 Gadsden Hwy
Ste 101
Birmingham, AL 35235
Phone (205) 854-6633

5511 Highway 280
Ste 118
Birmingham, AL 35242
Phone (205) 980-2005

2057 Valleydale Rd
Ste 109
Hoover, AL 35244
Phone (205) 822-8038

6316 Piccadilly Square Dr
#A
Mobile, AL 36609
Phone (205) 822-8038

1558 E Trinity Blvd
Montgomery, AL 36106
Phone (205) 822-8038

4109 Cogswell Ave
Pell City, AL 35125
Phone (205) 814-1234

102 Woodmont Blvd
Ste 450
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: ben.brannick.1@4399.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1932693140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 VALLEYDALE RD STE 109",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442707",
            "telephone_number": "205-822-8038",
            "fax_number": "205-822-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 VALLEYDALE RD STE 109",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442707",
            "telephone_number": "205-822-8038",
            "fax_number": "205-822-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNICK",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AL",
            "license": "362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.