Healthcare Provider Details

I. General information

NPI: 1831015023
Provider Name (Legal Business Name): BEKISU CHOICE BRAIMOH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4385 NARROW LANE RD
MONTGOMERY AL
36116-2978
US

IV. Provider business mailing address

10700 LISMORE CIR
MONTGOMERY AL
36117-6142
US

V. Phone/Fax

Practice location:
  • Phone: 334-747-3112
  • Fax:
Mailing address:
  • Phone: 334-467-0081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number1-180338
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: