Provider Demographics
NPI:1932458411
Name:CLAYTON, BRANDI ROBBINS (NP-C)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:ROBBINS
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7987
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0987
Mailing Address - Country:US
Mailing Address - Phone:251-633-0573
Mailing Address - Fax:251-633-7367
Practice Address - Street 1:5955 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3135
Practice Address - Country:US
Practice Address - Phone:251-633-0573
Practice Address - Fax:251-633-7367
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-118225363L00000X, 363LF0000X
FLARNP9381414363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL511-81875OtherBCBS
AL511-81877OtherBCBS
AL512-05550OtherBCBS
MS09833836OtherMS MEDICAID
AL102I504341OtherMEDICARE
AL5237744OtherUHC
AL191919Medicaid
AL210630Medicaid
AL511-81876OtherBCBS
AL209823Medicaid
AL210295Medicaid
ALP01841061OtherRR MEDICARE
AL215030Medicaid
AL215138Medicaid
AK4976478OtherAETNA
AL512-05549OtherBCBS
ALZ69040OtherVIVA HEALTH