Individual provider Active NPI

Tracy L Brown, CRNP

  • Women's Health Nurse Practitioner
  • Foley, AL
National Provider Identifier
1962672865
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
BRO1-0427-6154 Issued in AL
Practice address
1506 N McKenzie St
Suite 104
Foley, AL 36535-2261
Phone
(251) 424-1100
Fax
(251) 424-1110
NPI assigned
Mar 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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 BRO1-0427-6154 AL Primary

Addresses

Primary practice location

1506 N McKenzie St
Suite 104
Foley, AL 36535-2261

Mailing address

1506 N McKenzie St
Suite 104
Foley, AL 36535-2261
Phone (251) 424-1100

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
I20040413000189 AL Practitioner - Nurse Practitioner 4385638352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin OB-GYN PCGroup PAC ID 1456399286, 3 clinicians

Practice addresses (Care Compare)

1506 N McKenzie St
Foley, AL 36535-2264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BRO1-0427-6154ALMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin OB-GYN PC CurrentSince Oct 1, 2013 Accepting new patients

Locations

1506 N McKenzie St
Ste 104
Foley, AL 36535
Phone (251) 424-1100

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": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1962672865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 N MCKENZIE ST",
            "address_2": "SUITE 104",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352261",
            "telephone_number": "251-424-1100",
            "fax_number": "251-424-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 N MCKENZIE ST",
            "address_2": "SUITE 104",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352261",
            "telephone_number": "251-424-1100",
            "fax_number": "251-424-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "BRO1-0427-6154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.