Truus Delfos-Broner
Advanced Practice Midwife · Birmingham, ALNPI 1720037179
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 37 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 23 manufacturers, the largest accounting for just 16.1% — the pattern of someone who eats at a lot of different presentations.
Across 37 payments — averaging $108.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- AstraZeneca$647
- Novo Nordisk$446
- Teva Pharmaceuticals USA, Inc.$337
- AbbVie$304
- Amgen$274
- Vertex$209
- plus $2K from 17 others
What the payments were for
- Food & beverage$4,009100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| AstraZeneca(2 entities) | 6 | $647 |
| Novo Nordisk | 4 | $446 |
| Teva Pharmaceuticals USA, Inc. | 3 | $337 |
| AbbVie | 3 | $304 |
| Amgen | 2 | $274 |
| Vertex | 2 | $209 |
| Neurocrine Biosciences, Inc. | 1 | $129 |
| Esperion Therapeutics, Inc. | 1 | $125 |
| Axsome Therapeutics, Inc. | 1 | $125 |
| Biohaven Pharmaceuticals, Inc. | 1 | $124 |
| Regeneron Healthcare Solutions, Inc. | 1 | $122 |
| Otsuka America Pharmaceutical, Inc. | 1 | $122 |
| Eisai Inc. | 1 | $121 |
| Merck | 1 | $114 |
| Sanofi-aventis U.S. LLC | 1 | $113 |
| Mannkind Corporation | 1 | $109 |
| Corcept Therapeutics | 1 | $99 |
| Scpharmaceuticals Inc. | 1 | $99 |
| Otsuka Pharmaceutical Development & Commercialization, Inc. | 1 | $98 |
| Idorsia Pharmaceuticals US Inc | 1 | $96 |
| Cvrx, Inc. | 1 | $85 |
| Alnylam Pharmaceuticals Inc. | 1 | $85 |
| Coloplast | 1 | $28 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
How this compares
Too few advanced practice midwife providers in Alabamato place this figure against a meaningful peer group, so we don't.
Other advanced practice midwife in Birmingham
- Anna ChangBirmingham$187
- Sheila LopezBirmingham$45
- Charla SmithMontgomery$1K
- Samantha WallHuntsville$909
- Megan ChandlerAlbertville$836
- Lisa GowanDothan$721
- Vicki BrooksMontgomery$304
- Carole HeathDothan$183
- Jenny GossAndalusia$160
- Kristen WarringtonHuntsville$132
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.