Brennan Phillip Ellis, CRNP
Nurse Practitioner, Family in Birmingham, AL. Individual provider (NPI-1).
NPI number1891452736
StatusActive
Last updated in NPPESMay 1, 2026
Details
- NPI
- 1891452736
- Entity type
- Individual (NPI-1)
- Name
- Brennan Phillip Ellis
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2021
- Certification date
- May 1, 2026
- Last updated
- May 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1-161961 | AL | Yes |
| 163W00000X | Registered Nurse | 1-161961 | AL |
Practice location
513 Brookwood Blvd Ste 275Birmingham, AL 35209-6806
Phone 205-502-4700 · Fax 877-353-3589
Mailing address
513 Brookwood Blvd Ste 275Birmingham, AL 35209-6806
Phone 205-502-4700 · Fax 877-353-3589
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