Active NPI
Robert Roland Bradford III, CRNA
- Certified Registered Nurse Anesthetist
- Camp Lejeune, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7463
- Practice address
- 100 Brewster Blvd
Camp Lejeune, NC 28547-2575 - Phone
- (910) 450-4357
- NPI assigned
- Jun 10, 2024
- 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 | 7463 | NC | Primary |
Addresses
Primary practice location
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Mailing address
212 Elm CT
Northbrook, IL 60062-1239
Phone (816) 550-3794
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241206003638 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3779019286 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sarmc Anesthesia Specialist LLCCarolinaeast Medical Center
Practice addresses (Care Compare)
1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (252) 335-0531
2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8111
Hospital & facility affiliations
- Sentara Albemarle Medical Center
- Carolina East Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinaeast Medical Center | Current | Accepting new patients | |
| Sarmc Anesthesia Specialist LLC | Current | Accepting new patients | |
| Carolinaeast Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
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.
-
- Certified Registered Nurse Anesthetist
- New Bern, NC
- NPI 1710923875
NC, Nurse Anesthetist, Certified Registered
-
- Critical Care Medicine (Anesthesiology) Physician
- Elizabeth City, NC
- NPI 1295194397
NC
-
- Prosthetic/Orthotic Supplier
- New Bern, NC
- NPI 1427084680
-
- Rehabilitation Hospital Unit
- New Bern, NC
- NPI 1780641373
-
- General Acute Care Hospital
- New Bern, NC
- NPI 1801852835
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elizabeth City, NC
- NPI 1245211168
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1124860408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 ELM CT",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600621239",
"telephone_number": "816-550-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472575",
"telephone_number": "910-450-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "ROBERT",
"middle_name": "ROLAND",
"name_suffix": "III",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-10",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "7463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.