Active NPI
Michael O Brien, CRNA
- Certified Registered Nurse Anesthetist
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 72853
- Practice address
- 267 Grant St
Bridgeport Anesthesia Associates, PC
Bridgeport, CT 06610-2805 - Phone
- (203) 384-3072
- NPI assigned
- Aug 5, 2006
- Last updated
- Nov 10, 2009
- 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 | 72853 | CT | Primary |
Addresses
Primary practice location
267 Grant St
Bridgeport Anesthesia Associates, PC
Bridgeport, CT 06610-2805
Mailing address
7365 Main St
Suite 310
Stratford, CT 06614-1300
Phone (203) 384-3174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72853 | Other | CT | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-6654
64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-7280
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72853 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Gi PLLC | Current | Accepting new patients | |
| Bridgeport Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Current | Accepting new patients | |
| Woodland Anesthesia Associates PC | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
60 Wellington Rd
Milford, CT 06461
Phone (203) 878-2010
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
30 Waterchase Dr
Ste 2
Rocky Hill, CT 06067
778 Long Ridge Rd
Stamford, CT 06902
Phone (203) 322-2400
7365 Main St
Ste 310
Stratford, CT 06614
Phone (203) 384-3174
245 Alvord Park Rd
Bldg B
Torrington, CT 06790
Phone (860) 482-4866
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Hartford, CT
- NPI 1437109824
-
- Anesthesiology Physician
- Bridgeport, CT
- NPI 1174549257
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257811200000",
"number": "1437168838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7365 MAIN ST",
"address_2": "SUITE 310",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066141300",
"telephone_number": "203-384-3174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "267 GRANT ST",
"address_2": "BRIDGEPORT ANESTHESIA ASSOCIATES, PC",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066102805",
"telephone_number": "203-384-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O BRIEN",
"first_name": "MICHAEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2009-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "72853",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "72853",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.