Basic Information
| Provider Information | |||||||||
| NPI: | 1932458411 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CLAYTON | ||||||||
| FirstName: | BRANDI | ||||||||
| MiddleName: | ROBBINS | ||||||||
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| Credential: | NP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 7987 | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366700987 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2516330573 | ||||||||
| FaxNumber: | 2516337367 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 MEMORIAL HOSPITAL DR STE 1A | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 36608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2513436848 | ||||||||
| FaxNumber: | 2513435708 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2012 | ||||||||
| LastUpdateDate: | 06/28/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 1-118225 | AL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LP0200X | ARNP9381414 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics | 363LF0000X | 1-118225 | AL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 4976478 | 01 | AK | AETNA | OTHER | 511-81875 | 01 | AL | BCBS | OTHER | 511-81877 | 01 | AL | BCBS | OTHER | P01841061 | 01 | AL | RR MEDICARE | OTHER | 209823 | 05 | AL | MEDICAID | 210630 | 05 | AL | MEDICAID | 215030 | 05 | AL | MEDICAID | 512-05549 | 01 | AL | BCBS | OTHER | 512-05550 | 01 | AL | BCBS | OTHER | 210295 | 05 | AL | MEDICAID | 511-81876 | 01 | AL | BCBS | OTHER | 191919 | 05 | AL | MEDICAID | 215138 | 05 | AL | MEDICAID | 5237744 | 01 | AL | UHC | OTHER | 09833836 | 01 | MS | MS MEDICAID | OTHER | Z69040 | 01 | AL | VIVA HEALTH | OTHER | 102I504341 | 01 | AL | MEDICARE | OTHER |