Individual provider Active NPI

Bradley Taylor, CRNA

  • Certified Registered Nurse Anesthetist
  • Longview, TX
National Provider Identifier
1437548377
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP127233 Issued in TX
Practice address
1321 Mission Creek Dr
Longview, TX 75601-8604
Phone
(936) 404-8513
NPI assigned
Jan 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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 AP127233 TX Primary

Addresses

Primary practice location

1321 Mission Creek Dr
Longview, TX 75601-8604

Mailing address

1321 Mission Creek Dr
Longview, TX 75601-8604
Phone (936) 404-8513

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224001334 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406172154 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians

Practice addresses (Care Compare)

1204 N Mound St
Nacogdoches, TX 75961-4027
Phone (936) 564-4611

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP127233TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Medical Center LP CurrentSince Feb 4, 2015 Accepting new patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2024 Accepting new patients
Christus Good Shepherd Medical Center CurrentSince Sep 1, 2017 Accepting new patients
Longview Medical Center LP Nurse Anesthetist, Certified Registered CurrentSince Feb 4, 2015 Accepting new patients
Texas Anesthesia Partners, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Christus Good Shepherd Medical Center Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Anesthesia Consultants Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

421 E State Highway 114
Southlake, TX 76092
Phone (817) 865-4400

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1437548377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MISSION CREEK DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756018604",
            "telephone_number": "936-404-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MISSION CREEK DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756018604",
            "telephone_number": "936-404-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP127233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.