DR. CHARLES B JR. BRENTNALL (M.D., P.A.) – Allergy Physician, NPI 1497751036
Allergy Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
68 PLASTIC AND RECONSTRUCTIVE SURGERY in AL
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Provider Addresses for DR. CHARLES B JR. BRENTNALL (M.D., P.A.)
PO BOX 2190
SYLACAUGA, AL 351505190
Phone: (256) 249-0358
Fax: (256) 249-8508
Type: Mailing
7, Brown Avenue, Sylacauga, Talladega County, Alabama, 35150, United States
SYLACAUGA, AL 351502421
Phone: (256) 249-0358
Fax: (256) 249-8508
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $306.
Total Amount is formed as General ($306) + Research ($0) + Ownership ($0) = $306.
Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Novo Nordisk Inc ($259).
Total Amount
$306
General + Research + Ownership
Payments
22
Total payment records
General Amount
$306
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-10-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111018000422 | I | Otolaryngology | AL | TBD |
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.
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 35150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL | |
| A N E S T H E S I O L O G Y | AL | |
| Physical Medicine And Rehabilitation | AL | |
| Family Practice | AL | |
| Nurse Practitioner | AL | |
| Orthopedic Surgery | AL | |
| Family Practice | AL | |
| Family Practice, Physical Medicine And Rehabilitation | AL | |
| Nurse Practitioner | AL | |
| Internal Medicine | GA |
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