Bryan T Affolter, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

APN11209 Issued in TN

Practice address

924 Spring Creek Rd
Chattanooga, TN 37412-3910

Phone

(423) 899-1600

Fax

(423) 899-2171

NPI assigned

Feb 22, 2006

Last updated

Aug 27, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Surgery Center of Chattanooga LLCGroup PAC ID 8527072115, 2 clinicians

Practice addresses (Care Compare)

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.

• Physicians Surgery Center of Chattanooga, LLC

  dba Anesthesia Services of PSCC

  • Ambulatory Surgical Clinic/Center
  • Chattanooga, TN
  • NPI 1164589032

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Amsurg Chattanooga Anesthesia LLC

  • Anesthesiology Physician
  • Chattanooga, TN
  • NPI 1841586922
  Medicare reassignment NPD
• Earley Daze Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Dalton, GA
  • NPI 1821350471

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Physicians Surgery Center of Chattanooga, LLC

  dba Physicians Surgery Center of Chattanooga

  • Ambulatory Surgical Clinic/Center
  • Chattanooga, TN
  • NPI 1003861998
  NPD
• Physicians Surgery Center of Chattanooga, LLC

  dba Anesthesia Services of PSCC - MDs

  • Ambulatory Surgical Clinic/Center
  • Chattanooga, TN
  • NPI 1295892156
  NPD
• Anesthesiologists Associated PC

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
  • NPI 1043278443

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesiologists Associated PC

  • Anesthesiology Physician
  • Chattanooga, TN
  • NPI 1518923705
  NPD (past)
• Chattanooga Endoscopy ASC LLC

  dba Chattanooga Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Chattanooga, TN
  • NPI 1447223938
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1265407134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012114",
            "telephone_number": "423-899-1600",
            "fax_number": "423-892-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 SPRING CREEK RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123910",
            "telephone_number": "423-899-1600",
            "fax_number": "423-899-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFFOLTER",
        "first_name": "BRYAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN11209",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "RN102072",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN153379",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3141447",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3629459",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Surgical Concepts PLLC
• Adventa Hospice, LLC (Amedisys Hospice, an Adventa Company)
• Adventure Pediatric Dentistry, PLLC
• Afc Physicians of Tennessee, PC
• Afc Physicians of Tennessee, PC
• Affordable Dentures & Implants - Chattanooga II, P.C. (Affordable Dentures & Implants - Chattanooga)
• Affordable Smiles PLLC
• Hannah Afman, OTD
• Agape Youth Behavioral Health
• Emily Ager, M.D.

• Certified Registered Nurse Anesthetist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.