John Brandon Cory, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RNA-819A Issued in ID

Practice address

801 Pole Line Rd W
Twin Falls, ID 83301

Phone

(208) 814-1000

NPI assigned

Jan 20, 2012

Last updated

May 15, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brandon Cory Other name

Medicare fee-for-service enrollment

Enrolled in ID, UT2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rock Creek Anesthesia Services PLLCGroup PAC ID 1355604299, 6 clinicians

St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rock Creek Anesthesia Services PLLC

  • Anesthesiology Physician
  • Twin Falls, ID
  • NPI 1790284198
  Medicare reassignment Care Compare group NPD
• St Luke's Clinic LLC

  dba St Lukes Clinic - Magic Valley/Jerome

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1790718229
  Medicare reassignment Care Compare group NPD
• Ambulatory Surgery Center of Burley, LLC

  • Ambulatory Surgical Clinic/Center
  • Burley, ID
  • NPI 1992706840

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Brigham Anesthesia, LLC

  • Anesthesiology Physician
  • Brigham City, UT
  • NPI 1710904800
  Medicare reassignment NPD
• River View Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Twin Falls, ID
  • NPI 1831636752
  NPD (past)
• St Luke's Magic Valley Regional Medical Center LTD

  dba St Lukes Retail Pharmacy Twin Falls

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)

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

• St. Luke's Magic Valley Regional Medical Center, LTD.

  dba St Lukes Magic Valley - Air Ambulance

  • General Acute Care Hospital
  • Twin Falls, ID
  • NPI 1932154705
  Care Compare affiliation

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1053682229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 ADDISON AVE W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833015444",
            "telephone_number": "208-734-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POLE LINE RD W",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-814-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORY",
        "first_name": "JOHN",
        "middle_name": "BRANDON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-20",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "102238",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-819A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "CORY",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shawna Cordova, PHARMD
• Tracie J. Corle, LPC
• Jessica Cornell, MS
• Cornerstone Caregiving West LLC
• Jennifer Merlaine Cornie
• Corylus Care LLC
• Costco Wholesale Corporation (Costco Optical #145)
• Costco Wholesale Corporation (Costco Hearing Aid #145)
• Costco Wholesale Corporation
• Emily Arden Costello, DPT

• Certified Registered Nurse Anesthetist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.