Active NPI
Michael Todd Brashear, CRNA
- Certified Registered Nurse Anesthetist
- Manchester, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 46624
- Practice address
- 210 Marie Langdon Dr
Manchester, KY 40962-6388 - Phone
- (606) 598-5104
- Fax
- (606) 598-0983
- NPI assigned
- Sep 29, 2008
- 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 | 46624 | KY | Primary |
Addresses
Primary practice location
210 Marie Langdon Dr
Manchester, KY 40962-6388
Mailing address
425 Lewis Hargett Cir
Lexington, KY 40503-3590
Phone (859) 268-1030
Other practice location 1
100 Medical Center Dr
Hazard, KY 41701-9421
Phone (606) 439-6600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100061300 | Medicaid | KY | |
| 14175566 | Other | CAQH ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
509 Memorial Dr
Suite 2
Manchester, KY 40962-6196
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46624 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet Dreams Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Kentucky Anesthesia Group, PSC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Memorial Hospital Inc. | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients |
Locations
108 Bravo Blvd
Glasgow, KY 42141
Phone (270) 651-2181
540 Jett Dr
Jackson, KY 41339
Phone (606) 666-4971
425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322
2485 Highway 644
Louisa, KY 41230
Phone (606) 638-1154
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Georgetown, KY
- NPI 1073608634
Nurse Anesthetist, Certified Registered
-
dba Physician Services of Memorial Hospital
- Specialist
- Manchester, KY
- NPI 1831150119
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
KY, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Paris, TN
- NPI 1942601539
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Hazard, KY
- NPI 1124079314
-
dba AdventHealth London Parkway Clinic
- Rural Health Clinic/Center
- London, KY
- NPI 1477184968
-
dba AdventHealth Manchester
- Rural Health Clinic/Center
- Manchester, KY
- NPI 1255471827
-
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
- NPI 1508133497
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Manchester
- Rural Acute Care Hospital
- Manchester, KY
- NPI 1811922347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1205086097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 LEWIS HARGETT CIR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405033590",
"telephone_number": "859-268-1030",
"fax_number": "859-269-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MARIE LANGDON DR",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409626388",
"telephone_number": "606-598-5104",
"fax_number": "606-598-0983"
}
],
"practiceLocations": [
{
"address_1": "100 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Hazard",
"state": "KY",
"postal_code": "417019421",
"country_code": "US",
"telephone_number": "606-439-6600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRASHEAR",
"first_name": "MICHAEL",
"middle_name": "TODD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-29",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "46624",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100061300",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "14175566",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.