Active NPI
Bradley V Culver, CRNA
- Certified Registered Nurse Anesthetist
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R 104671-7
- Practice address
- 8990 Springbrook Dr NW
Ste 250
Coon Rapids, MN 55433-5850 - Phone
- (763) 398-0099
- Fax
- (763) 398-0124
- NPI assigned
- Aug 16, 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 | R 104671-7 | MN | Primary |
Addresses
Primary practice location
8990 Springbrook Dr NW
Ste 250
Coon Rapids, MN 55433-5850
Mailing address
11533 310TH Ave
Princeton, MN 55371-3410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 917342100 | Medicaid | MN | |
| 94D39CU | Other | MN | BCBSMN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-1313
Hospital & facility affiliations
- Fairview Northland Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 104671-7 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Minnesota Anesthesia Providers, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
14054 Bank St
Becker, MN 55308
Phone (763) 260-8808
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Becker, MN
- NPI 1881689974
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1841351749
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1124010178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11533 310TH AVE",
"city": "PRINCETON",
"state": "MN",
"postal_code": "553713410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8990 SPRINGBROOK DR NW",
"address_2": "STE 250",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335850",
"telephone_number": "763-398-0099",
"fax_number": "763-398-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULVER",
"first_name": "BRADLEY",
"middle_name": "V",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 104671-7",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "917342100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN",
"identifier": "94D39CU",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.