Active NPI
Bradley Page, CRNA
- Certified Registered Nurse Anesthetist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-105152
- Practice address
- 619 19TH St S
Birmingham, AL 35249-1711 - Phone
- (205) 934-3411
- NPI assigned
- Oct 16, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-105152 | AL | Primary |
Addresses
Primary practice location
619 19TH St S
Birmingham, AL 35249-1711
Mailing address
4910 Ridge Pass
Hoover, AL 35226-6004
Phone (205) 275-9354
Other practice location 1
1600 7th Ave S
Birmingham, AL 35233-1711
Phone (205) 638-9771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Alabama School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2000 6TH Ave S
Birmingham, AL 35233-2110
Phone (205) 937-9999
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- University of Alabama Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-105152 | AL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Alabama at Birmingham | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
1600 7th Ave S
Birmingham, AL 35233
Phone (205) 638-9100
619 19th St S
Rm JT845
Birmingham, AL 35249
Phone (205) 934-7072
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
619 19th St S
Birmingham, AL 35249
619 19th St S
#845
Birmingham, AL 35249
Phone (205) 934-7072
Interoperability endpoints
- bpage@direct.uabmedicine.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
-
- Certified Registered Nurse Anesthetist
- Birmingham, AL
- NPI 1356674360
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336577014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 RIDGE PASS",
"city": "HOOVER",
"state": "AL",
"postal_code": "352266004",
"telephone_number": "205-275-9354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352491711",
"telephone_number": "205-934-3411"
}
],
"practiceLocations": [
{
"address_1": "1600 7th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352331711",
"country_code": "US",
"telephone_number": "205-638-9771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGE",
"first_name": "BRADLEY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-105152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.