Active NPI
Brunilda Mara, CRNA
- Certified Registered Nurse Anesthetist
- Goldsboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 006927
- Practice address
- 2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494 - Phone
- (919) 587-4720
- NPI assigned
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F335946 | NY | |
| Registered Nurse | 163W00000X | 564054 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 006927 | NC | Primary |
Addresses
Primary practice location
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Mailing address
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rutgers New Jersey Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone (919) 731-6142
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-8114
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F335946 | NY | MD | Nurse Practitioner |
| 006927 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | Accepting new patients |
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Wayne Memorial Hospital Inc | Current | Accepting new patients | |
| Wayne Memorial Hospital Inc | Current | Accepting new patients | |
| Sedation Vacation Perioperative Medicine PLLC | Current | Accepting new patients | |
| North Shore - Lij Anesthesiology, PC | Current | Accepting new patients | |
| Wayne Health Physicians | Current | Accepting new patients |
Locations
2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
111 E 210th St
Bronx, NY 10467
1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313
195 E Main St
Huntington, NY 11743
Phone (631) 385-8677
10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
-
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Anesthesiology Physician
- Chappaqua, NY
- NPI 1417401266
-
- Specialist
- Valley Stream, NY
- NPI 1891235404
-
- Clinic/Center
- Goldsboro, NC
- NPI 1396978169
-
- Psychiatric Hospital Unit
- Goldsboro, NC
- NPI 1215105713
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
-
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1265766158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349494",
"telephone_number": "919-587-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARA",
"first_name": "BRUNILDA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-24",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F335946",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "564054",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "006927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.