BRENNAN PHILLIP ELLIS (CRNP) – Family Nurse Practitioner, NPI 1891452736

BRENNAN PHILLIP ELLIS (CRNP) is a healthcare provider. based in Dora, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-161961 (AL). The NPI Number for BRENNAN PHILLIP ELLIS (CRNP) is 1891452736

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
BRENNAN PHILLIP ELLIS (CRNP)
NPI
1891452736
Phone
(205) 478-3535
Address
7471 CRESVIEW LN
Enumeration Date
28 November 2021
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2055024700
Graduation Year
2023 (3 years ago)
PAC ID
2466990700
Group Practice PAC ID
9830098516
Professional Enrollment ID
I20240816003229
Address ID
AL352096806BI513XXBLVD302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for BRENNAN PHILLIP ELLIS (CRNP)

  • 7471 CRESVIEW LN

    DORA, AL 350622293

    Phone: (205) 478-3535

    Type: Mailing

  • 513 BROOKWOOD BLVD STE 275

    BIRMINGHAM, AL 352096806

    Phone: (205) 502-4700

    Fax: (877) 353-3589

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 65 Open Payments records for all available years, with a total value of $1,339.

Total Amount is formed as General ($1,339) + Research ($0) + Ownership ($0) = $1,339.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($114).

Total Amount

$1,339

General + Research + Ownership

Payments

65

Total payment records

General Amount

$1,339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-16

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
I20240816003229INurse PractitionerALTBD

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 35062)

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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: 9830098516View full group profile
NameSpecialtyState
Nurse PractitionerAL
H E M A T O L O G Y/ O N C O L O G YAL
Nurse PractitionerAL
Nurse PractitionerAL
H E M A T O L O G Y/ O N C O L O G YAL
Medical Oncology, Internal MedicineAL
Internal Medicine, Hematology/OncologyAL
H E M A T O L O G Y/ O N C O L O G YAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is BRENNAN PHILLIP ELLIS (CRNP)'s NPI number?
BRENNAN PHILLIP ELLIS (CRNP)'s NPI is 1891452736 — the number used across U.S. healthcare to identify this provider.
Is BRENNAN PHILLIP ELLIS (CRNP) shown as active in public data?
Registry records indicate BRENNAN PHILLIP ELLIS (CRNP) maintains an active NPI.
What area of care is associated with BRENNAN PHILLIP ELLIS (CRNP)?
BRENNAN PHILLIP ELLIS (CRNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BRENNAN PHILLIP ELLIS (CRNP) located near Dora?
BRENNAN PHILLIP ELLIS (CRNP) currently maps to Dora, Alabama in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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