Active NPI
Republic Anesthesia LLC
- Certified Registered Nurse Anesthetist
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- REPUBLIC ANESTHESIA LLC
- Practice address
- 3134 Briarcrest Dr
Bryan, TX 77802-3014 - Phone
- (979) 777-8400
- NPI assigned
- Jan 16, 2019
- Last updated
- Jan 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Gaskin
- Title
- President
- Phone
- (979) 777-8400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary | |
| Neurological Surgery Physician | 207T00000X | NU |
Addresses
Primary practice location
3134 Briarcrest Dr
Bryan, TX 77802-3014
Mailing address
10592 County Road 175
Iola, TX 77861-3617
Phone (979) 777-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3201 University Dr E
Ste 370
Bryan, TX 77802
Phone (979) 703-1426
802 E Main St
Madisonville, TX 77864
Phone (936) 348-2284
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Bryan, TX
- NPI 1285738724
Nurse Anesthetist, Certified Registered
-
- Neurological Surgery Physician
- Bryan, TX
- NPI 1891809026
-
- Certified Registered Nurse Anesthetist
- Weatherford, TX
- NPI 1760980320
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547596800000",
"number": "1215401831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10592 COUNTY ROAD 175",
"city": "IOLA",
"state": "TX",
"postal_code": "778613617",
"telephone_number": "979-777-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3134 BRIARCREST DR",
"city": "BRYAN",
"state": "TX",
"postal_code": "778023014",
"telephone_number": "979-777-8400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REPUBLIC ANESTHESIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-16",
"last_updated": "2019-01-16",
"status": "A",
"authorized_official_last_name": "GASKIN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-777-8400"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.