Active NPI
Brandon Dube, CRNA
- Certified Registered Nurse Anesthetist
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 147377
- Practice address
- 80 Seymour St
Hartford, CT 06102-8000 - Phone
- (860) 545-5000
- NPI assigned
- May 26, 2020
- 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 | 147377 | CT | Primary |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06102-8000
Mailing address
99 East River Drive
5TH Floor
East Hartford, CT 06108
Phone (860) 282-0833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
164 High St
Greenfield, MA 01301-2613
Phone (413) 794-2273
280 Chestnut St
Suite 2
Springfield, MA 01199-1001
40 Wright St
Palmer, MA 01069-1138
Phone (413) 370-5356
759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8913 | CT | MD | Professional Counselor |
| 147377 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Springfield Anesthesia Service, Inc. | Current | Accepting new patients | |
| Baystate Medical Practices, Inc | Current | Accepting new patients | |
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Past | Accepting new patients | |
| Umass Memorial Medical Group Inc | Past | Accepting new patients |
Locations
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
280 Chestnut St
Springfield, MA 01199
Phone (413) 794-3909
516 Carew St
Springfield, MA 01104
Phone (413) 787-2000
908 Allen St
Springfield, MA 01118
Phone (413) 732-5139
Organizations & group practices 7
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- Anesthesiology Physician
- Springfield, MA
- NPI 1093768830
-
- Hospitalist Physician
- Gardner, MA
- NPI 1205448701
-
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greenfield, MA
- NPI 1508867391
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- General Acute Care Hospital
- Westfield, MA
- NPI 1700816048
-
- General Acute Care Hospital
- Palmer, MA
- NPI 1962410233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1033732094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 EAST RIVER DRIVE",
"address_2": "5TH FLOOR",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "06108",
"telephone_number": "860-282-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061028000",
"telephone_number": "860-545-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBE",
"first_name": "BRANDON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "147377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.