Active NPI
Bradley W Jones, CRNA
- Certified Registered Nurse Anesthetist
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R798017
- Practice address
- 830 S Gloster St
Tupelo, MS 38801-4934 - Phone
- (662) 377-4394
- Fax
- (662) 377-7045
- NPI assigned
- Jul 24, 2006
- Last updated
- Nov 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R798017 | MS | Primary |
Addresses
Primary practice location
830 S Gloster St
Tupelo, MS 38801-4934
Mailing address
PO Box 3294
Tupelo, MS 38803-3294
Phone (662) 377-4394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00123799 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4566 S Eason Blvd
Tupelo, MS 38801-6540
830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258
830 S Gloster St
Tupelo, MS 38801-4934
830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R798017 | MS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trident Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| DHS Anesthesia, LLC | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| Tupelo Anesthesia Group PA | Current | Accepting new patients | |
| Monroe Health Services, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| South Texas Radiology Imaging Centers | Past | Accepting new patients | |
| South Texas Radiology Group PA | Past | Accepting new patients | |
| Corinth Surgery Center, LLC | Past | Accepting new patients |
Locations
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
110 Walker Way
Starkville, MS 39759
Phone (662) 320-6555
2089 Southridge Dr
Tupelo, MS 38801
Phone (662) 407-0801
589 Garfield St
Tupelo, MS 38801
Phone (601) 680-5565
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- bradleyjones@nmhs.medalliesdirect.net
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1184147431
-
dba CRNA Services Amory
- Anesthesiology Physician
- Amory, MS
- NPI 1619559309
-
- Certified Registered Nurse Anesthetist
- Belden, MS
- NPI 1053713123
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1376969683
-
dba NMMC - CRNA Anesthesia Service
- Anesthesiology Physician
- Tupelo, MS
- NPI 1730283896
-
- Ambulatory Surgical Clinic/Center
- Corinth, MS
- NPI 1891790887
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1851368039
-
- Diagnostic Radiology Physician
- San Antonio, TX
- NPI 1396718334
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290124800000",
"number": "1013939370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3294",
"city": "TUPELO",
"state": "MS",
"postal_code": "388033294",
"telephone_number": "662-377-4394",
"fax_number": "662-377-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014934",
"telephone_number": "662-377-4394",
"fax_number": "662-377-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BRADLEY",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2010-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R798017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00123799",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.