Active NPI
Darren Bradley Drennon, CRNA
- Certified Registered Nurse Anesthetist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APN9200
- Practice address
- 975 E. Third Street
Chattanooga, TN 37403-2147 - Phone
- (423) 778-7608
- Fax
- (423) 778-2360
- NPI assigned
- Nov 10, 2005
- Last updated
- Jul 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APN9200 | TN | Primary |
| Registered Nurse | 163W00000X | RN57966 | TN |
Addresses
Primary practice location
975 E. Third Street
Chattanooga, TN 37403-2147
Mailing address
PO Box 11225
Chattanooga, TN 37401-2225
Phone (423) 892-5602
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109646 | Medicaid | AL | |
| 000865334D | Medicaid | GA | |
| 1512402 | Medicaid | TN | |
| 8053519 | Medicaid | NC | |
| 3601693 | Medicaid | TN | |
| 4216523 | Other | TN | BLUE CROSS BLUE SHIELD OF TN |
| 430056762 | Other | TN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2305 Chambliss Ave NW
Cleveland, TN 37311-3847
Phone (423) 559-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN57966 | TN | MD | Registered Nurse |
| 9200 | TN | MD | Pharmacist |
| APN9200 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradley Anesthesia Services PC | Current | Accepting new patients | |
| Chattanooga Anesthesia for Outpatient Surgery, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Cleveland Anesthesiologists Inc | Past | Accepting new patients |
Locations
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Cleveland, TN
- NPI 1972329324
-
- Anesthesiology Physician
- Chattanooga, TN
- NPI 1043231202
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cleveland, TN
- NPI 1962483552
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cleveland, TN
- NPI 1255171096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280448000000",
"number": "1306827902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11225",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374012225",
"telephone_number": "423-892-5602",
"fax_number": "423-892-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 E. THIRD STREET",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374032147",
"telephone_number": "423-778-7608",
"fax_number": "423-778-2360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRENNON",
"first_name": "DARREN",
"middle_name": "BRADLEY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2010-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "APN9200",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN57966",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109646",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000865334D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1512402",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8053519",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3601693",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF TN",
"identifier": "4216523",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430056762",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.