Bradley S. Persinger, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

48580 Issued in WV

Practice address

80 Rockcrest Dr
South Charleston, WV 25309-2327

Phone

(304) 542-3927

Fax

(304) 768-2468

NPI assigned

Aug 31, 2006

Last updated

Apr 21, 2011By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Camc Greenbrier Valley Medical Center IncGroup PAC ID 1254702962, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

Merit-based Incentive Payment System (MIPS)

Final score

90.94 of 100Reported as apm

Quality

69.71

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Camc Greenbrier Valley Medical Center Inc

  • Cardiovascular Disease Physician
  • Ronceverte, WV
  • NPI 1588373872
  Medicare reassignment Care Compare group NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  Nurse Anesthetist, Certified Registered, WV

  Medicare reassignment NPD
• Mountain Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Lewisburg, WV
  • NPI 1073814513
  Authorized official Same address or phone
• Camc Greenbrier Valley Medical Center, Inc.

  dba CAMC Greenbrier Valley Medical Center Primary Care

  • Rural Health Clinic/Center
  • Peterstown, WV
  • NPI 1588485478
  NPD
• BJSM Med Inc

  • Emergency Medicine Physician
  • Ronceverte, WV
  • NPI 1326037011
  NPD (past)
• Charleston Surgical Hospital Healthcare Group, PLLC

  • Surgery Physician
  • Charleston, WV
  • NPI 1285131144
  NPD (past)
• Day Surgery Limited Liability

  dba Day Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Charleston, WV
  • NPI 1295853885
  NPD (past)
• Day Surgery Limited Liability

  • Ambulatory Surgical Clinic/Center
  • Charleston, WV
  • NPI 1730296997
  NPD (past)
• Greenbrier Valley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Ronceverte, WV
  • NPI 1760676407
  NPD (past)
• Hans Lee MD Inc

  • Plastic Surgery Physician
  • Charleston, WV
  • NPI 1003800442
  NPD (past)
• Makit Anesthesia Inc

  • Certified Registered Nurse Anesthetist
  • Canvas, WV
  • NPI 1518137934

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Camc Greenbrier Valley Medical Center Inc

  • General Acute Care Hospital
  • Ronceverte, WV
  • NPI 1679299408
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1073625539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ROCKCREST DR",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253092327",
            "telephone_number": "304-542-3927",
            "fax_number": "304-768-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ROCKCREST DR",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253092327",
            "telephone_number": "304-542-3927",
            "fax_number": "304-768-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSINGER",
        "first_name": "BRADLEY",
        "middle_name": "S.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "48580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2604261000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "27-3419445",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Perrock
• Jackie Perry
• James D. Perry, DO
• Krystle Perry
• Rosetta Perry
• Freddie Dominick Persinger, D.O.
• Geana Persinger
• Mary Pertee
• Richard Boyd Peterson, M.D.
• Shelba Petrey

• Certified Registered Nurse Anesthetist in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Certified Registered Nurse Anesthetist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.