Active NPI
Brandyn Robert Behnke
- Certified Registered Nurse Anesthetist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 198480-30
- Practice address
- 835 S Van Buren St
Green Bay, WI 54301-3526 - Phone
- (920) 433-8328
- NPI assigned
- Nov 27, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 198480-30 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 198480-30 | WI | Primary |
Addresses
Primary practice location
835 S Van Buren St
Green Bay, WI 54301-3526
Mailing address
3038 Quarry Park Dr Apt 7
De Pere, WI 54115-8350
Other practice location 1
1726 Shawano Ave
Green Bay, WI 54303-3216
Phone (920) 433-8328
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbehnke263302@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1475 FM 1960 Bypass Rd E
Townsen Memorial Hospital
Humble, TX 77338-3909
Phone (281) 369-9001
25450 Kuykendahl Rd
Suite 110
Tomball, TX 77375-3436
Phone (713) 804-1959
5150 Crenshaw Rd
Suite H100
Pasadena, TX 77505-3095
Phone (713) 773-0556
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198480-30 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Anesthesia Providers PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Green Bay Anesthesia Assoc. SC | Current | Accepting new patients | |
| Compass Anesthesia Providers PLLC | Current | Accepting new patients | |
| Southern Group Anesthesia PLLC | Current | Accepting new patients |
Locations
4201 Garth Rd
Ste 212
Baytown, TX 77521
Phone (281) 420-9355
4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428
1475 FM 1960 Bypass Rd E
Humble, TX 77338
Phone (281) 369-9001
801 FM 1463 Rd
Ste 200
Katy, TX 77494
Phone (281) 562-9553
1259 FM 1463 Rd
Ste 500
Katy, TX 77494
Phone (361) 237-1072
5150 Crenshaw Rd
Ste H100
Pasadena, TX 77505
Phone (281) 525-6106
2743 Smith Ranch Rd
Ste 404
Pearland, TX 77584
Phone (317) 345-5267
26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117
1211 Highway 6
Ste 70
Sugar Land, TX 77478
Phone (281) 238-3902
1211 Highway 6
Sugar Land, TX 77478
Phone (281) 238-3900
225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
Bin 88263
Milwaukee, WI 53288
Interoperability endpoints
- bbehnke263302@ewd.direct.hshs.org
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Webster, TX
- NPI 1669829750
-
- Anesthesiology Physician
- Houston, TX
- NPI 1346752326
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Houston, TX
- NPI 1417808627
-
- Anesthesiology Physician
- Green Bay, WI
- NPI 1023065836
-
- Anesthesiology Physician
- Katy, TX
- NPI 1720628936
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1669732178
-
- General Acute Care Hospital
- Richmond, TX
- NPI 1700883196
-
- General Acute Care Hospital
- Humble, TX
- NPI 1376870840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640563200000",
"number": "1083250872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3038 QUARRY PARK DR APT 7",
"city": "DE PERE",
"state": "WI",
"postal_code": "541158350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S VAN BUREN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013526",
"telephone_number": "920-433-8328"
}
],
"practiceLocations": [
{
"address_1": "1726 Shawano Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543033216",
"country_code": "US",
"telephone_number": "920-433-8328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEHNKE",
"first_name": "BRANDYN",
"middle_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-27",
"last_updated": "2021-12-27",
"certification_date": "2021-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WI",
"license": "198480-30",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "198480-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbehnke263302@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "835 S Van Buren St",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543013526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.