Brian Louis Cicero, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN088663 Issued in LA

Practice address

9103 Jefferson Hwy
Baton Rouge, LA 70809-2440

Phone

(225) 927-1190

Fax

(225) 706-0160

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Anesthesiology Affiliates, LLC

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
  • NPI 1376878884

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Surgical Anesthesia of Baton Rouge LLC

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1316936974
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1295719862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092440",
            "telephone_number": "225-927-1190",
            "fax_number": "225-706-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092440",
            "telephone_number": "225-927-1190",
            "fax_number": "225-706-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICERO",
        "first_name": "BRIAN",
        "middle_name": "LOUIS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN088663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109886",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00018897",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy S. Church, MD, MPH, PHD
• Kayla McKenzie Chustz-Duplessis
• Hannah Chustz, OD
• Jamie F Chustz, CRNA
• Payton Elisabeth Chustz
• Kamryn Cicero, M.A., L-SLP, CCC-SLP
• Jennifer Cihonski, MS, ATC, LAT
• Madison Elizabeth Cimaroli
• Amy Cimo, NTP
• Circular Transportation

• Certified Registered Nurse Anesthetist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Certified Registered Nurse Anesthetist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.