Individual provider Active NPI

Bobby Ray Beal III, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
National Provider Identifier
1225477888
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9261620 Issued in FL
Practice address
8383 N Davis Hwy
Pensacola, FL 32514-6039
Phone
(954) 838-2588
Fax
(954) 514-3979
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9261620 FL Primary

Addresses

Primary practice location

8383 N Davis Hwy
Pensacola, FL 32514-6039

Mailing address

1613 Harrison Pkwy
Suite C
Sunrise, FL 33323-2896
Phone (205) 292-5766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140206000402 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456580877 Reassigns benefits to 2 organizations
I20161130002345 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456580877 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMR Anesthesia PLLC 16 clinicians

Practice addresses (Care Compare)

135 Medical Park Dr
Suite 2B
Andalusia, AL 36420-5352
Phone (850) 753-8075

1851 N 9TH Ave
Suite B
Pensacola, FL 32503-5201
Phone (850) 479-4223

408 Medical Park Dr
Atmore, AL 36502-3016
Phone (850) 484-4080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. CurrentSince Feb 12, 2017 Accepting new patients
BMR Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2019 Accepting new patients
Community Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 12, 2018 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp, Inc. Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2017 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

135 Medical Park Dr
Ste 2B
Andalusia, AL 36420
Phone (850) 753-8075

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953

408 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-2550

855 Downtowner Blvd
Mobile, AL 36609

182 E Redstone Ave
Ste A
Crestview, FL 32539
Phone (850) 266-7500

180 E Redstone Ave
Crestview, FL 32539

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

4485 N State Road 7
Lauderdale Lakes, FL 33319
Phone (954) 720-3188

4585 E Highway 20
Ste 125
Niceville, FL 32578
Phone (850) 426-5191

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1600 Jenks Ave
Ste 1
Panama City, FL 32405
Phone (855) 524-7246

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

4600 N Davis Hwy
Pensacola, FL 32503
Phone (850) 202-1118

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

1549 Airport Blvd
Ste 420
Pensacola, FL 32504
Phone (850) 484-8800

1502 Creighton Rd
Ste C
Pensacola, FL 32504
Phone (850) 437-3777

511 Hewitt St
Pensacola, FL 32503
Phone (850) 912-6505

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1502 Creighton Rd
Ste A
Pensacola, FL 32504
Phone (850) 437-3777

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

400 10th St E
Waconia, MN 55387

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1225477888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "SUITE C",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896",
            "telephone_number": "205-292-5766",
            "fax_number": "954-514-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146039",
            "telephone_number": "954-838-2588",
            "fax_number": "954-514-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAL",
        "first_name": "BOBBY",
        "middle_name": "RAY",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9261620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.

Verify at the official NPI Registry.