Active NPI
Bradley Louis Jones, CRNA
- Certified Registered Nurse Anesthetist
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 664987
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (903) 531-5000
- NPI assigned
- Sep 2, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP04179 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | 664987 | TX | Primary |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
PO Box 841656
Dallas, TX 75284-1656
Phone (903) 531-5000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01198527 | Other | TX | RAIL ROAD |
| 75-0818167-015 | Other | TX | TRICARE |
| 8351UE | Other | TX | BCBS BLUE |
| 289953603 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-6678
1500 Line Ave
Suite 206
Shreveport, LA 71101-4649
Phone (318) 213-3800
1635 Marvel St
Coushatta, LA 71019-9022
Phone (318) 932-2199
Hospital & facility affiliations
- Christus Shreveport-Bossier Health System
- Specialists Hospital Shreveport
- Christus Coushatta Health Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP04179 | LA | MD | Certified Registered Nurse Anesthetist |
| 664987 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shreveport Sedation Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Health Central Louisiana | Current | Accepting new patients | |
| Novus Louisiana Medical Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Health Central Louisiana | Current | Accepting new patients | |
| Christus Health Northern Louisiana | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Center Anesthesiologists | Current | Accepting new patients | |
| Med-Trans Corporation | Past | Accepting new patients | |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Christus Health Central Louisiana | Past | Accepting new patients |
Locations
1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000
708 N Ashley Ridge Loop
Ste 400
Shreveport, LA 71106
Phone (318) 210-3315
1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500
1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
1500 Line Ave
Shreveport, LA 71101
Phone (318) 213-3754
3217 Mabel St
Shreveport, LA 71103
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.
-
- Emergency Medicine Physician
- Coushatta, LA
- NPI 1417494758
-
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1801822762
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1336926872
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1669469748
-
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1770083164
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Coushatta, LA
- NPI 1205824208
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912118134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1104928068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841656",
"city": "DALLAS",
"state": "TX",
"postal_code": "752841656",
"telephone_number": "903-531-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAWSON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757012036",
"telephone_number": "903-531-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BRADLEY",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP04179",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "664987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD",
"identifier": "P01198527",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "75-0818167-015",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BLUE",
"identifier": "8351UE",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "289953603",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.