Individual provider Active NPI

Brent V Bowles, CRNA

  • Certified Registered Nurse Anesthetist
  • Meridian, ID
National Provider Identifier
1245564434
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA-884A Issued in ID
Practice address
1828 S Millenium Way Ste 100
Meridian, ID 83642-5036
Phone
(208) 445-2456
NPI assigned
Sep 22, 2009
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA-884A ID Primary
Certified Registered Nurse Anesthetist 367500000X 281060-4406 UT
Certified Registered Nurse Anesthetist 367500000X 30952.1190 WY

Addresses

Primary practice location

1828 S Millenium Way Ste 100
Meridian, ID 83642-5036

Mailing address

1501 S Meadow Rd
Springville, UT 84663-6008
Phone (801) 369-5435

Other practice location 1

1501 S Meadow Rd
Springville, UT 84663-6008
Phone (801) 369-5435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY, ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100311000054 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698810935 Reassigns benefits to 2 organizations
I20121119000218 WY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698810935 Reassigns benefits to 2 organizations
I20140122001928 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698810935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gibb AnesthesiaGroup PAC ID 4082124037, 3 clinicians
NPH Anesthesia of Utah LLCGroup PAC ID 9537584313, 91 clinicians

Practice addresses (Care Compare)

1828 S Millenium Way
Meridian, ID 83642-5036
Phone (208) 445-2456

5475 S 500
Ogden, UT 84405-6905
Phone (469) 998-7443

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ivinson Memorial Hospital CurrentSince Sep 7, 2019 Accepting new patients
Mountain View Anesthesia LC Anesthesiology CurrentSince Dec 27, 2009 Accepting new patients
Gibb Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2025 Accepting new patients
North Lincoln County Hospital District CurrentSince Jun 16, 2017 Accepting new patients
NPH Anesthesia of Utah, LLC Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Ivinson Memorial Hospital CurrentSince Sep 7, 2019 Accepting new patients
North Lincoln County Hospital District CurrentSince Jun 16, 2017 Accepting new patients
BVB Anesthesia Inc Anesthesiology Current Accepting new patients

Locations

1828 S Millenium Way
Meridian, ID 83642
Phone (208) 381-0262

1828 S Millenium Way
Ste 100
Meridian, ID 83642
Phone (208) 381-0262

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

1954 E Fort Union Blvd
Ste 105
Salt Lake Cty, UT 84121
Phone (801) 993-9524

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

901 Adams St
Afton, WY 83110
Phone (307) 885-5800

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

3116 Willett Dr
Laramie, WY 82072
Phone (307) 742-6319

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1245564434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S MEADOW RD",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846636008",
            "telephone_number": "801-369-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 S MILLENIUM WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425036",
            "telephone_number": "208-445-2456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Meadow Rd",
            "address_purpose": "LOCATION",
            "city": "Springville",
            "state": "UT",
            "postal_code": "846636008",
            "country_code": "US",
            "telephone_number": "801-369-5435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "BRENT",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "RNA-884A",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "281060-4406",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "30952.1190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.