Individual provider Active NPI

Brice Hammons Fitch, CRNA

  • Certified Registered Nurse Anesthetist
  • Crossville, TN
National Provider Identifier
1306027750
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
132475 Issued in TN
Practice address
421 S Main St
Crossville, TN 38555-5048
Phone
(931) 484-9511
NPI assigned
Nov 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 132475 TN Primary

Addresses

Primary practice location

421 S Main St
Crossville, TN 38555-5048

Mailing address

1307 West Ave
Suite 102
Crossville, TN 38555-5107
Phone (931) 456-4433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA, MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080124000157 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547342958 Reassigns benefits to 3 organizations
I20221007002794 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547342958 Reassigns benefits to 1 organization
I20240420000031 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547342958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 Lacey St
Cape Girardeau, MO 63701-5230
Phone (573) 334-4822

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
132475TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
East Tennessee Ambulatory Surgery Center LLC CurrentSince Dec 13, 2022 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2014 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 8, 2024 Accepting new patients
Paragon Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Dec 13, 2022 Accepting new patients
Singing River Health System Past Accepting new patients
Deercreek Anesthesia Consultants PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

10415 Wallace Alley St
Kingsport, TN 37663
Phone (423) 390-0451

28 White Bridge Pike
Ste 111
Nashville, TN 37205
Phone (615) 986-6153

28 White Bridge Pike
Ste 210
Nashville, TN 37205
Phone (615) 352-3000

28 White Bridge Pike
Ste 208
Nashville, TN 37205
Phone (615) 327-2001

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1306027750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WEST AVE",
            "address_2": "SUITE 102",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555107",
            "telephone_number": "931-456-4433",
            "fax_number": "931-456-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555048",
            "telephone_number": "931-484-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCH",
        "first_name": "BRICE",
        "middle_name": "HAMMONS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "132475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.