Active NPI
Gerald John Briskey, CRNA
- Certified Registered Nurse Anesthetist
- Lewisburg, PA
National Provider Identifier
1235128406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN2358361
- Practice address
- 1 Hospital Dr
Lewisburg, PA 17837-9350 - Phone
- (570) 522-4144
- Fax
- (570) 768-3911
- NPI assigned
- Oct 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN2358361 | PA | Primary |
Addresses
Primary practice location
1 Hospital Dr
Lewisburg, PA 17837-9350
Mailing address
1 Hospital Dr
Suite 306
Lewisburg, PA 17837-9350
Phone (570) 522-4144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007405486 | Medicaid | PA | |
| BR26253 | Other | PA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2358361 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J. Beaudry Jr., D.M.D., Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445990400000",
"number": "1235128406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"address_2": "SUITE 306",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379350",
"telephone_number": "570-522-4144",
"fax_number": "570-768-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379350",
"telephone_number": "570-522-4144",
"fax_number": "570-768-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISKEY",
"first_name": "GERALD",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2015-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN2358361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007405486",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "BR26253",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.