Individual provider Active NPI

Bradley Joe Byker, CRNA

  • Certified Registered Nurse Anesthetist
  • New Richmond, WI
National Provider Identifier
1386663706
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
138913-30 Issued in WI
Practice address
130 S Knowles Ave
New Richmond, WI 54017-1727
Phone
(715) 246-3018
NPI assigned
Jul 18, 2006
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 138913-30 WI Primary

Addresses

Primary practice location

130 S Knowles Ave
New Richmond, WI 54017-1727

Mailing address

2196 84TH Ave
Osceola, WI 54020-4334
Phone (715) 294-4020

Other identifiers 1

IdentifierTypeStateIssuer
43396700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040527000375 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749261535 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138913-30WIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amery Regional Medical Center, Inc. CurrentSince Aug 1, 2001 Accepting new patients
Ladd Memorial Hospital CurrentSince Oct 16, 2017 Accepting new patients
Baldwin Area Medical Center Inc. CurrentSince Jan 1, 2013 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jan 1, 2002 Accepting new patients
Westfields Hospital, Inc CurrentSince Jan 1, 2009 Accepting new patients
Westfields Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2009 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Aug 1, 2001 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jan 1, 2002 Accepting new patients
Baldwin Area Medical Center, Inc. CurrentSince Jan 1, 2013 Accepting new patients
Ladd Memorial Hospital CurrentSince Oct 16, 2017 Accepting new patients
River Valley Anesthesia, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1386663706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 84TH AVE",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204334",
            "telephone_number": "715-294-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S KNOWLES AVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171727",
            "telephone_number": "715-246-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYKER",
        "first_name": "BRADLEY",
        "middle_name": "JOE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "138913-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43396700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.