Robert Bruce Morgan, CRNA

Primary specialty

SpecialistTaxonomy code 174400000X

License

041-311797 Issued in IL

Practice address

2210 Dean St
St Charles, IL 60175-1066

Phone

(630) 584-9800

Fax

(630) 584-9805

NPI assigned

Nov 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Southeastern Wisconsin Anesthesiology, S.C.

  • Anesthesiology Physician
  • Burlington, WI
  • NPI 1639125701
  NPD (past)

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": "1376723700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 MAPLE AVE",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601198341",
            "telephone_number": "630-365-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751066",
            "telephone_number": "630-584-9800",
            "fax_number": "630-584-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "041-311797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Brent Montgomery, LPN
• Kari Moore, MS, CCC-SLP
• Shannon Lynn Moose, ATC, ROT, LAT
• Araceli Morales
• Jocelyn Moreno
• Stephanie J. Morris
• Patrick J Morrison, LCSW
• Gary Stephan Morrow, R.PH.
• Artur Motak, PTA
• Emily Rose Mott, AUD

• Specialist in St Charles, IL
• Providers in St Charles, IL by specialty
• Specialist in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.