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BRYAN MORTIMER MD
NPI 1811791650
Student in an Organized Health Care Education/Training Program in Huntsville, AL

Active since April 02, 2025PECOS Enrolled
101 SIVLEY RD SW, HUNTSVILLE, AL 35801(256) 265-1000 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Bryan Mortimer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN MORTIMER MD (NPI 1811791650) is an individual student in an organized health care education/training program in Huntsville, Alabama and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811791650
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRYAN MORTIMERCredential: MD
Location Address101 SIVLEY RD SWHuntsville, AL 35801-4470
Mailing Address209 Beirne Ave NwHuntsville, AL 35801-4765 · (256) 783-5116
Phone(256) 265-1000
Sole ProprietorYes
Enumeration DateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1811791650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 SIVLEY RD SW, Huntsville, AL 35801
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Mortimer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN CLAY OSBORNE JR. M.D.
Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 539-9471
DR. MICHAEL FREDERICK DONZE JR. D.O.
Hospitalist
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 801-6047
HOWARD MASON ROBERTSON JR. M.D.
Anesthesiology
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
MELISSA PIROFSKY RICKETTS CRNP
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-3360
CASEY ZOLLO
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
JEREMY WHALEY
Nurse Practitioner (Family)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
MIRIAM MARIE KNIGHT CRNP
Nurse Practitioner (Acute Care)
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000
MRS. JULIE D MCCOY CRNA
Nurse Anesthetist, Certified Registered
101 SIVLEY RD SW
HUNTSVILLE, AL 35801
Madison County (256) 265-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Mortimer's NPI number?

The NPI number for Bryan Mortimer is 1811791650. It was assigned to this individual provider in the NPPES registry on April 2, 2025.

Where is Bryan Mortimer located?

Bryan Mortimer practices at 101 Sivley Rd SW, Huntsville, AL 35801. The listed phone number is (256) 265-1000.

What is Bryan Mortimer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bryan Mortimer enrolled in Medicare?

Yes. Bryan Mortimer is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Mortimer was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.