Individual provider Active NPI

Stephanie Michelle Burrell, MD

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1962612903
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27889 Issued in AL
Practice address
7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797
Phone
(256) 882-7469
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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 27889 AL Primary

Addresses

Primary practice location

7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797

Mailing address

7105B Bailey Creek Cir SE
Huntsville, AL 35802-2797
Phone (256) 882-7469

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081020000600 AL Practitioner - Family Practice 6800954801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Hospital SWDR
Huntsville, AL 35801-6455
Phone (256) 429-4000

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27889ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N Al Family Medicine LLC Family Medicine CurrentSince Oct 15, 2010 Accepting new patients
Synergy Medical Partners, LLC PastSince Dec 1, 2020 Accepting new patients
Phoenix Emergency Care, PC Past Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

540 Hughes Rd
Ste 5
Madison, AL 35758
Phone (205) 533-1052

101 Westover Cir
Ste B
Madison, AL 35758
Phone (256) 606-9303

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13223/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.burrell.1@13223.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1962612903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7105B BAILEY CREEK CIR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022797",
            "telephone_number": "256-882-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105B BAILEY CREEK CIR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022797",
            "telephone_number": "256-882-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.