Active NPI
Barry T Roberts, CRNA
- Certified Registered Nurse Anesthetist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9203118
- Practice address
- 1304 Oak St
Melbourne, FL 32901-3111 - Phone
- (321) 723-4723
- Fax
- (321) 727-1448
- NPI assigned
- Aug 18, 2006
- 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 | ARNP9203118 | FL | Primary |
Addresses
Primary practice location
1304 Oak St
Melbourne, FL 32901-3111
Mailing address
PO Box 2400
Melbourne, FL 32902-2400
Phone (321) 255-9671
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 305926000 | Medicaid | FL | |
| G3374 | Other | FL | BCBSFL |
| P00068942 | Other | FL | RRMCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-7000
1425 Malabar Rd NE
Palm Bay, FL 32907-2506
Phone (321) 434-8000
8731 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9000
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9203118 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Physician Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Stingl Family Foundation, Inc | Past | Accepting new patients |
Locations
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
520 E Strawbridge Ave
Melbourne, FL 32901
Organizations & group practices 2
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
- Melbourne, FL
- NPI 1598008955
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1033223185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2400",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329022400",
"telephone_number": "321-255-9671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 OAK ST",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013111",
"telephone_number": "321-723-4723",
"fax_number": "321-727-1448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "BARRY",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9203118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "305926000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "G3374",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCR",
"identifier": "P00068942",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
- Annie Whitworth Robbins, FNP-BC
- Robert Paul Dunne DPM PA (Lake Washington Foot and Ankle Center)
- Robert Suruncle PLLC
- Robert Updegrove Counseling Services, Inc.
- Tara Roberts-Tiflati, RMHCI
- Paula Roberts, DMD
- Angel Robertson
- Samantha Nicole Robertson, A.R.N.P.
- Christina Robinson, PHARMD
- Keianna Robinson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.