Individual provider Active NPI

Brandyn Robert Behnke

  • Certified Registered Nurse Anesthetist
  • Green Bay, WI
National Provider Identifier
1083250872
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
198480-30 Issued in WI
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

Updated by the provider on Dec 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address bbehnke263302@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200211001525 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345676318 Reassigns benefits to 1 organization
I20220428001920 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0345676318 Reassigns benefits to 4 organizations

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
Compass Anesthesia Providers, PLLCGroup PAC ID 4082040878, 164 clinicians
Apex Frontier Group, PLLCGroup PAC ID 0345723292, 32 clinicians
Dynamic Anesthesia Providers, PLLCGroup PAC ID 0547529596, 112 clinicians

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

LicenseStateTypeSpecialty
198480-30WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Anesthesia Providers PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Green Bay Anesthesia Assoc. SC CurrentSince Dec 22, 2019 Accepting new patients
Compass Anesthesia Providers PLLC CurrentSince May 1, 2022 Accepting new patients
Southern Group Anesthesia PLLC CurrentSince Oct 25, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.