Individual provider Active NPI

Bryan Clifford Anderson, DNAP

  • Certified Registered Nurse Anesthetist
  • Memphis, TN
National Provider Identifier
1376813949
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000018740 Issued in TN
Practice address
3340 Players Club Parkway
Suite 350
Memphis, TN 38125
Phone
(432) 967-5520
NPI assigned
Jan 12, 2012
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 143755 TX
Certified Registered Nurse Anesthetist 367500000X 28217693A IN
Certified Registered Nurse Anesthetist 367500000X APN0000018740 TN Primary

Addresses

Primary practice location

3340 Players Club Parkway
Suite 350
Memphis, TN 38125

Mailing address

PO Box 1018
Arlington, TN 38002-1018
Phone (432) 967-5520

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141007000534 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204097892 Reassigns benefits to 9 organizations
I20190917002182 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204097892 Reassigns benefits to 2 organizations
I20240111004421 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204097892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midsouth Speciality Anesthesia Services LLCGroup PAC ID 6103293667, 29 clinicians
Lifelinc Anesthesia PLLCGroup PAC ID 0941347447, 169 clinicians
Lauderdale Community Hospital LLCGroup PAC ID 9830505023, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

1750 Madison Ave
Suite 300
Memphis, TN 38104-6428
Phone (901) 390-2930

1995 Hwy 51 S
Covington, TN 38019-3635
Phone (901) 844-1590

2200 Union Ave
Memphis, TN 38104-4205
Phone (901) 274-5813

312 S Rhodes St
West Memphis, AR 72301-4215
Phone (901) 390-2930

340 Asbury Ave
Ripley, TN 38063-5577
Phone (731) 221-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000018740TNMDCertified Registered Nurse Anesthetist
143755TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelinc Anesthesia V, P.a. Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Midsouth Speciality Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2022 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Jan 1, 2021 Accepting new patients
Lauderdale Community Hospital LLC Current Accepting new patients
East Memphis Anesthesia Services PLC CurrentSince Dec 1, 2020 Accepting new patients
Lifelinc Anesthesia VIII PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 25, 2024 Accepting new patients
Capital Anesthesia Solutions of Missouri LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
Northstar Anesthesia of Tennessee, PLLC CurrentSince Jan 30, 2019 Accepting new patients
Lifelinc Anesthesia II, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 15, 2014 Accepting new patients
Phillip R. Bowden, M.D.,P.a. CurrentSince Jul 1, 2016 Accepting new patients
Lauderdale Community Hospital LLC CurrentSince Jan 1, 2021 Accepting new patients
Digestive Care of Evansville PC PastSince Nov 12, 2018 Accepting new patients
Permian Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

312 S Rhodes St
West Memphis, AR 72301
Phone (870) 733-1240

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1355 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 755-8300

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200

1750 Madison Ave
Ste 300
Memphis, TN 38104
Phone (901) 725-7025

255 S Pauline St
Memphis, TN 38104
Phone (901) 261-2804

3340 Players Club Pkwy
Ste 350
Memphis, TN 38125
Phone (901) 207-2017

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

825 Ridge Lake Blvd
Memphis, TN 38120
Phone (901) 685-6150

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

326 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

326 Asbury Ave
Ste 104
Ripley, TN 38063
Phone (731) 221-2200

340 Asbury Ave
Ripley, TN 38063
Phone (731) 221-2200

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

3301 S 14th St
Ste 16180
Abilene, TX 79605

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1376813949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380021018",
            "telephone_number": "432-967-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 PLAYERS CLUB PARKWAY",
            "address_2": "SUITE 350",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38125",
            "telephone_number": "432-967-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "BRYAN",
        "middle_name": "CLIFFORD",
        "credential": "DNAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-12",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "143755",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28217693A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000018740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.