Anthony Jacob Bonner, DNP, CRNA, RN
Individual provider Active NPI Certified Registered Nurse Anesthetist · Birmingham, AL
NPI 1124698956 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1124698956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 1-162032 (AL)
- Practice address
- 619 19TH St S
Birmingham, AL 35233-1900 - Phone
- (205) 934-4011
- NPI assigned
- Jun 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crna Services of DGH
University of Alabama Health Services Foundation, PC
Anesthesiologists Associated PC
Practice addresses (Care Compare)
1201 7TH St SE
Decatur, AL 35601-3337
Phone (256) 341-2000
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (205) 848-2925
Hospital & facility affiliations
- Grandview Medical Center
- Decatur Morgan Hospital - Decatur Campus
- University of Alabama Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230605000580 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9537526777 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-162032 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiologists Associated PC | Current |
Accepting new patients | |
| Crna Services of DGH | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current |
Accepting new patients | |
| Primary Medicine Associates, LLC | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1201 7th St SE
Decatur, AL 35601
Phone (256) 341-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-162032 | AL | Yes |
Addresses
Primary practice location
619 19TH St S
Birmingham, AL 35233-1900
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Phone (256) 239-2106
Other practice location 1
848 Valley Cir
Leeds, AL 35094-2408
Phone (256) 239-2106
Other providers in Birmingham, AL
- Cara C Bondly
- Deborah J Bonds
- Lisa Marie Bonds
- William Bonduris
- Bonham LLC
- Emily Anne Bonner
- Henry Vinson Bonner IV
- James A Bonner
- Jessica Bonner
- Leslie Nichole Bonner
All providers in Birmingham, AL · Certified Registered Nurse Anesthetist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.