Active NPI
Brandon Michael Benoit, CRNA
- Certified Registered Nurse Anesthetist
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN9315468
- Practice address
- 4901 Grande Dr
Pensacola, FL 32504-5935 - Phone
- (850) 477-7042
- Fax
- (850) 474-9060
- NPI assigned
- Jan 18, 2011
- 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 | RN9315468 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | AP07278 | LA |
Addresses
Primary practice location
4901 Grande Dr
Pensacola, FL 32504-5935
Mailing address
4901 Grande Dr
Pensacola, FL 32504-8965
Phone (850) 477-7042
Other practice location 1
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2574
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003212700 | Medicaid | FL | |
| P00929445 | Other | MEDICARE RAILROAD | |
| 125685 | Medicaid | AL | |
| 592-13627 | Other | AL | BLUE CROSS BLUE SHIELD |
| G00M6 | Other | FL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
501 W Saint Mary Blvd
Suite 110
Lafayette, LA 70506-4699
Phone (337) 233-8887
Hospital & facility affiliations
- Our Lady of Lourdes Regional Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9315468 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Los Anesthesia Services LLC | Current | Accepting new patients | |
| Ams Anesthetist Services LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
1105 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (225) 296-0041
501 W Saint Mary Blvd
Ste 110
Lafayette, LA 70506
Phone (337) 233-8887
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1508687419
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1770834426
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1376848663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048965",
"telephone_number": "850-477-7042",
"fax_number": "850-474-9060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 GRANDE DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045935",
"telephone_number": "850-477-7042",
"fax_number": "850-474-9060"
}
],
"practiceLocations": [
{
"address_1": "4801 Ambassador Caffery Pkwy",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705086917",
"country_code": "US",
"telephone_number": "337-470-2574",
"fax_number": "337-470-2605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENOIT",
"first_name": "BRANDON",
"middle_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-18",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "RN9315468",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP07278",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003212700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00929445",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125685",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "592-13627",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "G00M6",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.