Active NPI
Denver Sebastain Bullard II, CRNA
- Certified Registered Nurse Anesthetist
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN9235487
- Practice address
- 2699 Lee Rd
Suite 510
Winter Park, FL 32789-1753 - Phone
- (407) 896-9500
- Fax
- (407) 756-1401
- NPI assigned
- Dec 6, 2011
- 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 | APRN9235487 | FL | Primary |
Addresses
Primary practice location
2699 Lee Rd
Suite 510
Winter Park, FL 32789-1753
Mailing address
2699 Lee Rd
Suite 510
Winter Park, FL 32789-1753
Phone (407) 896-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120312000853 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9335308287 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9235487 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osceola Gastroenterology Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Apollo Medical Group of Ocala LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Innovative Medical Staffing Solutions Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Orange County Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
715 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 910-3071
905 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 256-0933
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
3241 SW 34th St
Ocala, FL 34474
Phone (352) 237-5906
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
110 Underwood St
Ste B
Orlando, FL 32806
Phone (407) 342-5842
100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1477326908
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
FL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1003434762
FL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
FL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1629308713
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1124567706
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1245508134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2699 LEE RD",
"address_2": "SUITE 510",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891753",
"telephone_number": "407-896-9500",
"fax_number": "407-756-1401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2699 LEE RD",
"address_2": "SUITE 510",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891753",
"telephone_number": "407-896-9500",
"fax_number": "407-756-1401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLARD",
"first_name": "DENVER",
"middle_name": "SEBASTAIN",
"name_suffix": "II",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-06",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN9235487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.