1215996855 NPI number — MS. SHARON BRAMMER CRNP

Table of content: MS. SHARON BRAMMER CRNP (NPI 1215996855)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215996855 NPI number — MS. SHARON BRAMMER CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRAMMER
Provider First Name:
SHARON
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215996855
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/05/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2048
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36652-2048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-432-4117
Provider Business Mailing Address Fax Number:
251-436-7765

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1201 SPRING HILL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOBILE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36604-2717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-694-1801
Provider Business Practice Location Address Fax Number:
251-694-1890
Provider Enumeration Date:
03/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  1020545 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 51502392 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51502400 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 631410120 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 631411120 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51502393 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 631404120 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51502402 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 631405120 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 631401720 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 631403120 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51502403 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 631402120 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51502395 . This is a "BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 631400120 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 631406120 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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