Healthcare Provider Details

I. General information

NPI: 1972265973
Provider Name (Legal Business Name): BRANDEN D SIMS CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2021
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 MEDICAL ST
SNEAD AL
35952-6468
US

IV. Provider business mailing address

408 RIDGEFIELD CIR
GUNTERSVILLE AL
35976-5198
US

V. Phone/Fax

Practice location:
  • Phone: 205-386-4341
  • Fax: 205-623-1105
Mailing address:
  • Phone: 256-557-5869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-162257
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: