Bryan T Affolter, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Chattanooga, TN
NPI 1265407134 · NPPES record last updated Aug 27, 2008
Key facts
- NPI
- 1265407134
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APN11209 (TN)
- Practice address
- 924 Spring Creek Rd
Chattanooga, TN 37412-3910 - Phone
- (423) 899-1600
- Fax
- (423) 899-2171
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
924 Spring Creek Rd
Chattanooga, TN 37412-3910
Phone (423) 899-1600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050405000265 | TN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9830146679 | Reassigns benefits to 2 organizations |
| I20190817000444 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9830146679 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN153379 | GA | MD | Certified Registered Nurse Anesthetist |
| APN11209 | TN | MD | Certified Registered Nurse Anesthetist |
| RN102072 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Surgery Center of Chattanooga, LLC | Current |
Accepting new patients | |
| Physicians Surgery Center of Chattanooga, LLC | Current | Accepting new patients | |
| Physicians Surgery Center of Chattanooga, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Earley Daze Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Amsurg Chattanooga Anesthesia LLC | Current |
Accepting new patients | |
| Anesthesiologists Associated PC | Past | Accepting new patients | |
| Chattanooga Endoscopy ASC LLC | Past | Accepting new patients | |
| Anesthesiologists Associated PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1111 Professional Blvd
Dalton, GA 30720
Phone (404) 226-2232
5751 Uptain Rd
Ste 100
Chattanooga, TN 37411
Phone (423) 855-8406
2341 McCallie Ave
Ste 303
Chattanooga, TN 37404
Phone (423) 696-3999
1501 Riverside Dr
Ste 117
Chattanooga, TN 37406
Phone (423) 648-0576
924 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 629-7688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN11209 | TN | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | RN102072 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | RN153379 | GA |
Addresses
Primary practice location
924 Spring Creek Rd
Chattanooga, TN 37412-3910
Mailing address
PO Box 11114
Chattanooga, TN 37401-2114
Phone (423) 899-1600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3141447 | Other | TN | BCBS |
| 3629459 | Medicaid | TN |
Other providers in Chattanooga, TN
- Advanced Surgical Concepts PLLC
- Adventa Hospice, LLC
- Adventure Pediatric Dentistry, PLLC
- Afc Physicians of Tennessee, PC
- Afc Physicians of Tennessee, PC
- Affordable Dentures & Implants - Chattanooga II, P.C.
- Affordable Smiles PLLC
- Hannah Afman
- Agape Youth Behavioral Health
- Emily Ager
All providers in Chattanooga, TN · Certified Registered Nurse Anesthetist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.