DR. BRADLEY PATRICK CRNA, DNP, MBA, MS
NPI 1508948100
Nurse Anesthetist, Certified Registered in Willits, CA

NPI Status: Active since October 20, 2006

Contact Information

1 MADRONE ST
WILLITS, CA
ZIP 95490
Phone: (707) 456-3100

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About BRADLEY PATRICK

This page provides the complete NPI Profile along with additional information for Bradley Patrick, a provider established in Willits, California with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1508948100 assigned on October 2006. The practitioner's primary taxonomy code is 367500000X with license number R051320 (ME). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1508948100
Provider Name
DR. BRADLEY PATRICK CRNA, DNP, MBA, MS
Gender
Male
Entity Type
Individual
Location Address
1 MADRONE ST WILLITS, CA 95490
Location Phone
(707) 456-3100
Mailing Address
1724 EMERSON STREET UNIT #1 DENVER, CO 80218
Mailing Phone
(612) 367-7474
Is Sole Proprietor?
Yes
Enumeration Date
10-20-2006
Last Update Date
06-27-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R051320
License State
ME
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ME-1670OTHER (01)MEMAINE MEDICARE

Reviews for DR. BRADLEY PATRICK CRNA, DNP, MBA, MS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508948100
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081841610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 8 + 4 + 1 + 6 + 1 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1508948100 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720065717MS. MARY ETHEL FARKAS RD/MNT
Individual
Dietitian, Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3132
1164409116DR. CHARLES MACAULAY HOTT MD
Individual
Emergency Medicine (Emergency Medical Services)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3050
1194703462MS. DEBRA JAN WOLD CRNA
Individual
Nurse Anesthetist, Certified Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3171
1255319679MR. GREGORY ALLAN NIDEROST
Individual
Nurse Anesthetist, Certified Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3171
1467466482DR. JONATHAN E TRAVIS M.D.
Individual
Radiology (Diagnostic Radiology)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3093
1144315730MS. ANNE C RETALLICK FNP
Individual
Registered Nurse (General Practice)1 MADRONE ST FRANK HOWARD MEMORIAL HOSPITAL
WILLITS, CA 95490
(707) 459-6801
1629120860MRS. ANDREA LOUISE BRAVERMAN R.D.
Individual
Dietitian, Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3132
1902018955 CINDY W. BODENSTEINER RN
Individual
Registered Nurse (Registered Nurse First Assistant)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3171
1811179336 NANCY B. HOROWITZ MOILANEN SPEECH PATHOLOGIST
Individual
Speech-Language Pathologist1 MADRONE ST
WILLITS, CA 95490
(707) 459-4454
1396913653 CYNTHIA MAE WHITAKER M.S. CCC-SLP
Individual
Speech-Language Pathologist1 MADRONE ST
WILLITS, CA 95490
(707) 459-6801
1073899878 NHU TRAN ACNP
Individual
Nurse Practitioner (Acute Care)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3041
1114905122 CONSTANCE SUSAN CRISWELL CRNA
Individual
Nurse Anesthetist, Certified Registered1 MADRONE ST
WILLITS, CA 95490
(707) 456-3171
1861653131DR. JULIE ANN MOYERS MD
Individual
Radiology (Diagnostic Radiology)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3093
1730511486 HENRIETTA A SIMONSSON RN
Individual
Registered Nurse (Diabetes Educator)1 MADRONE ST
WILLITS, CA 95490
(707) 456-3050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508948100, enumerated in the NPI registry as an "individual" on October 20, 2006

The provider is located at 1 Madrone St Willits, Ca 95490 and the phone number is (707) 456-3100

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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