Jacqueline Bradin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN308619L Issued in PA

Practice address

2010 Old West Chester Pike
Suite 330
Haverford, PA 19083

Phone

(610) 789-8070

Fax

(610) 789-9937

NPI assigned

Apr 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Anesthesia Services PCGroup PAC ID 3173437613, 437 clinicians

Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rothman Orthopaedic Specialty Hospital Hospital, Bensalem, PA, CCN 390322

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Einstein Practice Plan Inc

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1760434468
  Medicare reassignment Care Compare group NPD
• United Anesthesia Services PC

  • Anesthesiology Physician
  • Wynnewood, PA
  • NPI 1053366062

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Einstein Practice Plan Inc

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
  • NPI 1457047433

  Nurse Anesthetist, Certified Registered

  NPD
• Einstein Practice Plan Inc

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1740232321
  NPD
• Haverford Anesthesia Associates, PC

  • Anesthesiology Physician
  • Havertown, PA
  • NPI 1124013693

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Liberty Anesthesia Associates, P. C.

  • Specialist
  • Coatesville, PA
  • NPI 1972509792
  NPD (past)
• Pinnacle Mid-Atlantic Anesthesia Associates PC

  • Anesthesiology Physician
  • Pottsville, PA
  • NPI 1073789244

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Rothman Orthopaedic Specialty Hospital, LLC

  • General Acute Care Hospital
  • Bensalem, PA
  • NPI 1336378132
  Care Compare affiliation

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1053586115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-4066",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001",
            "telephone_number": "302-709-4497",
            "fax_number": "302-733-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OLD WEST CHESTER PIKE",
            "address_2": "SUITE 330",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "610-789-8070",
            "fax_number": "610-789-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADIN",
        "first_name": "JACQUELINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN308619L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN308619L",
            "identifier": "RN308619L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly S Berrien, LMT
• Gilbert A Block, MD
• Vicky Bowman, COTA
• Kristy Boyd, D.P.T
• Hilary Smolen Brader, MD
• Brandywine Assisted Living at Haverford Estates
• Elizabeth Bogado Briganti, PSYD
• Janet Lynn Bronstein, OTR/L
• Elizabeth Anastasia Broome, MS
• Laurie A Browngoehl, MD

• Certified Registered Nurse Anesthetist in Haverford, PA
• Providers in Haverford, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.