Individual provider Active NPI

Brandon Darryl Montz, CRNA

  • Certified Registered Nurse Anesthetist
  • Opelika, AL
National Provider Identifier
1053812412
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-137599 Issued in AL
Practice address
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone
(334) 528-2499
NPI assigned
Feb 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-137599 AL Primary

Addresses

Primary practice location

2000 Pepperell Pkwy
Opelika, AL 36801-5452

Mailing address

2000 Pepperell Pkwy
Opelika, AL 36801-5452

Other practice location 1

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724003080 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072860899 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Lake Health Alabama, LLCGroup PAC ID 8325415375, 39 clinicians
Anesthesia AssociatesGroup PAC ID 3476570870, 60 clinicians

Practice addresses (Care Compare)

103 Helton CT
Florence, AL 35630-1464
Phone (205) 848-2925

400 E 10TH St
Anniston, AL 36207-4716
Phone (256) 546-5281

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-137599ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates CurrentSince Aug 1, 2020 Accepting new patients
Anesthesia Associates of East Alabama LLC CurrentSince Jan 1, 2019 Accepting new patients
DCH Medical Center Crna Nurse Anesthetist, Certified Registered CurrentSince Jan 30, 2018 Accepting new patients
Ivy Creek Specialty Care Current Accepting new patients
Ivy Creek Specialty Care CurrentSince Dec 1, 2020 Accepting new patients
Ivycreek of Elmore LLC CurrentSince Aug 28, 2020 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Aug 28, 2020 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

200 Broad St
Ste 300
Gadsden, AL 35901
Phone (256) 846-8281

1 Commerce Sq
Gadsden, AL 35901

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1053812412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452",
            "telephone_number": "334-528-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 University Blvd E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354012029",
            "country_code": "US",
            "telephone_number": "205-759-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTZ",
        "first_name": "BRANDON",
        "middle_name": "DARRYL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-21",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-137599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.