Active NPI
Bradley J Lassa, CRNA
- Certified Registered Nurse Anesthetist
- Fort Bragg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 73154
- Practice address
- 2817 Rock Merritt Ave
Fort Bragg, NC 28310-4783 - Phone
- (910) 907-8922
- Fax
- (910) 907-6069
- NPI assigned
- Nov 18, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 073154 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 378085 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 73154 | WI | Primary |
Addresses
Primary practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-4783
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone (910) 907-8922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 378085 | NC | MD | Certified Registered Nurse Anesthetist |
| 073154 | WI | MD | Certified Registered Nurse Anesthetist |
| 73154 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951
700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
705 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 357-2000
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
310 W Main St
Sparta, WI 54656
Phone (608) 269-1700
134 Leonard St N
West Salem, WI 54669
Phone (608) 786-0200
Organizations & group practices 8
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.
-
dba Mayo Clinic Health System-Menomonie
- Critical Access Hospital
- Menomonie, WI
- NPI 1154372944
-
dba Mayo Clinic Health System in Eau Claire
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1629056049
-
dba Franciscan Healthcare - Sparta
- Critical Access Hospital
- Sparta, WI
- NPI 1841278637
-
dba Mayo Clinic Health System - Oakridge in Mondovi
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
-
dba Franciscan Healthcare - Sparta
- Rural Health Clinic/Center
- Sparta, WI
- NPI 1366420788
-
dba Mayo Clinic Health System - La Crosse
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1942980917
-
dba Mayo Clinic Health System-Barron
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1174505606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283104783",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSA",
"first_name": "BRADLEY",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "073154",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "378085",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "73154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.