Active NPI
Bradley Alan Kirkenir, CRNA
- Certified Registered Nurse Anesthetist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 20910728
- Practice address
- 7309 N Knoxville Ave
Peoria, IL 61614-2085 - Phone
- (217) 528-7541
- NPI assigned
- Sep 25, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 20910728 | IL | Primary |
Addresses
Primary practice location
7309 N Knoxville Ave
Peoria, IL 61614-2085
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Other practice location 1
800 E Carpenter St
Room 2k64
Springfield, IL 62769-0002
Phone (217) 525-5643
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bkirkenir131588@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20910728 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827
800 E Carpenter St
Rm 2K
Springfield, IL 62769
Phone (217) 525-5643
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
800 E Carpenter St
Rm 2K64
Springfield, IL 62769
Phone (217) 525-5643
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- bkirkenir131588@ewd.direct.hshs.org
- bradley.kirkenir.1@28977.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
dba Advocate Eureka Hospital
- Critical Access Hospital
- Eureka, IL
- NPI 1184644023
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1023444866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 N KNOXVILLE AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142085",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [
{
"address_1": "800 E Carpenter St",
"address_2": "Room 2k64",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627690002",
"country_code": "US",
"telephone_number": "217-525-5643",
"fax_number": "217-544-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KIRKENIR",
"first_name": "BRADLEY",
"middle_name": "ALAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-25",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "20910728",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bkirkenir131588@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "800 E Carpenter St",
"address_2": "Room 2k64",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627690002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.