JEANETTE BROUILLETTE BROWN (MD) – Internal Medicine Physician, NPI 1073190708

JEANETTE BROUILLETTE BROWN (MD) is a healthcare provider. based in Birmingham, Alabama. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD.45296 (AL). The NPI Number for JEANETTE BROUILLETTE BROWN (MD) is 1073190708

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JEANETTE BROUILLETTE BROWN (MD)
NPI
1073190708
Phone
(205) 731-9701
Address
PO BOX 55310
Enumeration Date
27 March 2021
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
2057449444
Graduation Year
2021 (5 years ago)
PAC ID
6103226345
Group Practice PAC ID
4880082429
Professional Enrollment ID
I20241124000040
Address ID
AL350232392HU3014XDRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,215 INTERNAL MEDICINE in AL

Provider Addresses for JEANETTE BROUILLETTE BROWN (MD)

  • PO BOX 55310

    BIRMINGHAM, AL 352555310

    Phone: (205) 731-9701

    Type: Mailing

  • 625 19TH ST S

    BIRMINGHAM, AL 352331900

    Phone: (205) 934-2490

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241124000040IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35255)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880082429View full group profile
NameSpecialtyState
Internal MedicineAL
A N E S T H E S I O L O G YAL
Physical Medicine And RehabilitationAL
Nurse PractitionerAL
Orthopedic SurgeryAL
Family PracticeAL
Family Practice, Physical Medicine And RehabilitationAL
Nurse PractitionerAL
Internal MedicineGA
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

What is the registry number for JEANETTE BROUILLETTE BROWN (MD)?
The registry entry for JEANETTE BROUILLETTE BROWN (MD) shows NPI 1073190708.
Should I treat JEANETTE BROUILLETTE BROWN (MD) as an active provider?
Patients and plans typically see JEANETTE BROUILLETTE BROWN (MD) as active in the national extract.
What does the directory say JEANETTE BROUILLETTE BROWN (MD) does?
Insurance directories may phrase it differently, but here JEANETTE BROUILLETTE BROWN (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JEANETTE BROUILLETTE BROWN (MD) in Birmingham, Alabama?
For routing, start with Birmingham, Alabama for JEANETTE BROUILLETTE BROWN (MD), then verify phone and hours locally.
Who maintains JEANETTE BROUILLETTE BROWN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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