Active NPI
B. R. a. Anesthesia, PC
- Certified Registered Nurse Anesthetist
- Ennis, TX
National Provider Identifier
1255319158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 705290
- Legal business name
- B. R. A. ANESTHESIA, PC
- Practice address
- 2241 F. M. 984
Ennis, TX 75119-0955 - Phone
- (214) 399-0034
- Fax
- (972) 646-5278
- NPI assigned
- Jan 3, 2006
- Last updated
- May 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Robert Andersen, BSN, CRNA
- Title
- President
- Phone
- (214) 399-0034
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 705290 | TX | Primary |
Addresses
Primary practice location
2241 F. M. 984
Ennis, TX 75119-0955
Mailing address
2241 F. M. 984
Ennis, TX 75119-0955
Phone (214) 399-0034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888174 | Other | TX | BLUE CROSS BLUE SHIELD |
| 1762759-02 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Corsicana, TX
- NPI 1336143940
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273017600000",
"number": "1255319158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 F. M. 984",
"city": "ENNIS",
"state": "TX",
"postal_code": "751190955",
"telephone_number": "214-399-0034",
"fax_number": "972-646-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 F. M. 984",
"city": "ENNIS",
"state": "TX",
"postal_code": "751190955",
"telephone_number": "214-399-0034",
"fax_number": "972-646-5278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B. R. A. ANESTHESIA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-03",
"last_updated": "2010-05-05",
"status": "A",
"authorized_official_last_name": "ANDERSEN",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-399-0034",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BSN, CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "705290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "888174",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1762759-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ennis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.