Samuel Allen Bracken, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

656358 Issued in TX

Practice address

1755 Curie Dr
El Paso, TX 79902-2919

Phone

(915) 544-3636

NPI assigned

Jan 9, 2007

Last updated

Feb 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

El Paso Ams PLLCGroup PAC ID 9931520970, 87 clinicians

Texas Ams PLLCGroup PAC ID 9133441769, 143 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• El Paso Ams, PLLC

  • Anesthesiology Physician
  • El Paso, TX
  • NPI 1134740202

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Texas Ams PLLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1174926125

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment Care Compare group NPD
• Erj Medical P.a.

  dba Texas Pain Management

  • Interventional Pain Medicine Physician
  • El Paso, TX
  • NPI 1659477701
  Medicare reassignment NPD
• Texas Tech University Health Sciences Center El Paso

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1598705055
  Medicare reassignment NPD
• Sab Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
  • NPI 1063789592
  Authorized official Same address or phone
• Texas Tech University Health Sciences Center El Paso

  • Neurological Surgery Physician
  • El Paso, TX
  • NPI 1457913444
  NPD
• Texas Tech University Health Sciences Center El Paso

  • Anesthesiology Physician
  • El Paso, TX
  • NPI 1720040603
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Paso Healthcare System LTD

  dba Las Palmas del Sol Healthcare

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1770536120
  Care Compare affiliation

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1235288341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W STE 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253315",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 CURIE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022919",
            "telephone_number": "915-544-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 N Piedras St",
            "address_2": "WBAMC ATTN Debra Rodocker",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799205001",
            "country_code": "US",
            "telephone_number": "915-569-1382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "SAMUEL",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "656358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Boykins, PHYSICAL THERAPIST
• Christina Fea Boyle, MS CCC-SLP
• Travis Aaron Boyle, DPT
• Dillon Lee Boynton, OD
• Terry Anne Brabo, LPC
• Braden Partners LP (Pacific Pulmonary Services)
• Lamon Bradford
• Leeann Shentel Braid, RN, FNP-C
• Reyna Maria Braid, PAC
• Branch Craige MD PA

• Certified Registered Nurse Anesthetist in El Paso, TX
• Providers in El Paso, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.