DR. BRANDI JANNESS RUDOLPH BOLLING (MD) – Psychiatry Physician, NPI 1962611616

DR. BRANDI JANNESS RUDOLPH BOLLING (MD) is a healthcare provider. based in Jasper, Alabama. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. 30986 (AL). The NPI Number for DR. BRANDI JANNESS RUDOLPH BOLLING (MD) is 1962611616

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRANDI JANNESS RUDOLPH BOLLING (MD)
NPI
1962611616
Phone
(205) 302-9000
Address
1100 7TH AVE
Enumeration Date
21 May 2007
Last Update Date
21 January 2014

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2058703520
Graduation Year
2011 (15 years ago)
PAC ID
4789739673
Group Practice PAC ID
6103853445
Professional Enrollment ID
I20110816000338
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRANDI JANNESS RUDOLPH BOLLING (MD)

  • Northwest Alabama Mental Health Center, 1100, 7th Avenue, Jasper, Walker County, Alabama, 35501, United States

    JASPER, AL 355014377

    Phone: (205) 302-9000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $22,345.

Total Amount is formed as General ($22,345) + Research ($0) + Ownership ($0) = $22,345.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: IRONSHORE PHARMACEUTICALS INC. ($12,796).

Total Amount

$22,345

General + Research + Ownership

Payments

61

Total payment records

General Amount

$22,345

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2011-08-16

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
I20110816000338IPsychiatryALTBD

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 35501)

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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: 6103853445View full group profile
NameSpecialtyState
Clinical Social WorkerAL
Clinical Social WorkerAL
P S Y C H I A T R YAL
Clinical PsychologistAL
Clinical PsychologistAL
Mental Health CounselorAL
Clinical PsychologistAL
Clinical Social WorkerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What number should I use to identify DR. BRANDI JANNESS RUDOLPH BOLLING (MD) for billing?
Administrative and clinical systems typically use NPI 1962611616 for DR. BRANDI JANNESS RUDOLPH BOLLING (MD).
Is DR. BRANDI JANNESS RUDOLPH BOLLING (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. BRANDI JANNESS RUDOLPH BOLLING (MD) as active.
How should patients interpret DR. BRANDI JANNESS RUDOLPH BOLLING (MD)'s specialty?
The extract shows Psychiatry Physician for DR. BRANDI JANNESS RUDOLPH BOLLING (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. BRANDI JANNESS RUDOLPH BOLLING (MD)?
DR. BRANDI JANNESS RUDOLPH BOLLING (MD) shows a connection to Jasper, Alabama in registry-derived data.
Can I export DR. BRANDI JANNESS RUDOLPH BOLLING (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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