Bevin Lyle Ellenberg
CRNP | Nurse Practitioner - Adult Health | 9+ years Exp
832 Princeton Ave Sw, Birmingham
Alabama, 35211-1320
205-206-8450
Bevin Lyle Ellenberg is a Birmingham, Alabama based nurse practitioner with 9 years of experience in Adult Health. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Bevin Lyle Ellenberg is 1-140234 for Primary Care in Alabama. Her current practice location is 832 Princeton Ave Sw, Birmingham. Patients can reach her at 205-206-8450 or can fax her at 205-206-8364. Bevin Lyle Ellenberg is CRNP with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1780100776.
Bevin Lyle Ellenberg can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Bevin Lyle Ellenberg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Bevin Lyle Ellenberg |
| Specialization: | Adult Health Nurse Practitioner (ANP) |
| Gender: | Female |
| Credentials: | CRNP |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 832 Princeton Ave Sw, Birmingham,
Alabama, 35211-1320 |
| Phone: | 205-206-8450 |
| Fax: | 205-206-8364 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3173880168 |
| Enrollment ID: | I20171129002094 |
| NPI Number: | 1780100776 |
| NPI Enumeration Date: | 21 Aug, 2017 |
| NPI Last Update On: | 17 Mar, 2018 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bevin Lyle Ellenberg are as mentioned below.
| License Number | Specialization | State | Status | |
| 1-140234 | Primary Care | Alabama | Primary | |
| 1-140234 | Adult Health | Alabama | Secondary | |
| 1-140234 | Gerontology | Alabama | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (010035) | Cullman, AL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Bevin Lyle Ellenberg is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Oncology Specialties, P.c. (1254328495) | 56 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bevin Lyle Ellenberg
Po Box 12366,
Birmingham, Alabama |
| Zip: | 35202-2366 |
| Phone Number: | 205-780-7101 |
| Fax Number: | 205-206-8338 |
Patients can reach Bevin Lyle Ellenberg at
832 Princeton Ave Sw, Birmingham, Alabama or can
call to book an appointment on 205-206-8450.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.