Provider Demographics
NPI:1104156181
Name:BARTON, BROOKE RAWLS
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:RAWLS
Last Name:BARTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 20TH ST S
Mailing Address - Street 2:FOT 9TH FLOOR STE 905
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-2028
Mailing Address - Country:US
Mailing Address - Phone:205-934-7898
Mailing Address - Fax:205-934-0973
Practice Address - Street 1:510 20TH ST S
Practice Address - Street 2:FOT 9TH FLOOR STE 905
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2028
Practice Address - Country:US
Practice Address - Phone:205-934-7898
Practice Address - Fax:205-934-0973
Is Sole Proprietor?:No
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-108384363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care