Individual provider Active NPI

Bradley G Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Gadsden, AL
National Provider Identifier
1003061789
Registry record updated Feb 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-068691 Issued in AL
Practice address
600 S 3Rd St
Gadsden, AL 35901-5304
Phone
(256) 543-5200
NPI assigned
Nov 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-068691 AL Primary

Addresses

Primary practice location

600 S 3Rd St
Gadsden, AL 35901-5304

Mailing address

PO Box 10824
Birmingham, AL 35202-0824
Phone (888) 245-5525

Other identifiers 2

IdentifierTypeStateIssuer
515-95261OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
1003061789MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000383 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981767738 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia AssociatesGroup PAC ID 3476570870, 60 clinicians

Practice addresses (Care Compare)

Gadsden, AL 35901
Phone (256) 546-5281

1 Commerce Square
Gadsden, AL 35901-5252

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 546-5281

400 E 10TH St
Anniston, AL 36207-4716
Phone (256) 546-5281

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-068691ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
Birmingham Gastroenterology Associates PC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2017 Accepting new patients
Anesthesia Associates CurrentSince Jan 1, 2018 Accepting new patients
Epix Anesthesia of Alabama LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
Birmingham Gastroenterology Associates PC Current Accepting new patients
Anesthesia Solutions of Anniston Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

2010 Brookwood Medical Ctr Dr
#G100
Birmingham, AL 35209

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1 Commerce Sq
Gadsden, AL 35901

1521 Rainbow Dr
Gadsden, AL 35901
Phone (256) 459-8255

1 Independence Plz
Homewood, AL 35209
Phone (205) 255-3828

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235779200000",
    "number": "1003061789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10824",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352020824",
            "telephone_number": "888-245-5525",
            "fax_number": "717-653-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015304",
            "telephone_number": "256-543-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-23",
        "last_updated": "2009-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-068691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "515-95261",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003061789",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.