Amanda E Brantley, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-090284 Issued in AL

Practice address

915 W Laurel Ave
Foley, AL 36535-1324

Phone

(251) 943-5440

Fax

(251) 943-9431

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Occupational Medicine and Pain Management PC 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Coastal Occupational Medicine and Pain Management, P.C.

  • Pain Medicine Physician
  • Foley, AL
  • NPI 1699850230

  AL

  Medicare reassignment Care Compare group NPD
• Laser and Skin Care Center of Mobile

  • Procedural Dermatology Physician
  • Mobile, AL
  • NPI 1023195393
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1992076277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1862",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365361862",
            "telephone_number": "251-943-5440",
            "fax_number": "251-943-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W LAUREL AVE",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351324",
            "telephone_number": "251-943-5440",
            "fax_number": "251-943-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "AMANDA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-090284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1-090284",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany N Bodree, PTA
• Ashley Booth, CRNP, ACNPC-AG, CCRN
• Patrick L Bosarge, MD
• Monica Reina Boudreaux, AU.D.
• Dianne Boyington, NBCHIS
• Rebecca Lynn Breland
• Stephanie Brewster
• Joseph Connor Brittain, PT, DPT
• Kaitlin Brittain, DO
• Brooks Hearing Aid Center

• All providers in Foley, AL
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.