Active NPI
Brandon Robinson, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, LA
National Provider Identifier
1124003876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP03635
- Practice address
- 1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5783 - Phone
- (337) 988-5646
- Fax
- (337) 988-4298
- NPI assigned
- Dec 14, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP03635 | LA | Primary |
Addresses
Primary practice location
1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5783
Mailing address
1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5783
Phone (337) 988-5646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1429449 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03635 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients | |
| Dauterive Professionals Management | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
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
- New Iberia, LA
- NPI 1184658361
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1124003876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 KALISTE SALOOM RD",
"address_2": "SUITE 304",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705085783",
"telephone_number": "337-988-5646",
"fax_number": "337-988-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 KALISTE SALOOM RD",
"address_2": "SUITE 304",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705085783",
"telephone_number": "337-988-5646",
"fax_number": "337-988-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "BRANDON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP03635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1429449",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.