Bryan J McGilly, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Albany, NY
NPI 1457071532 · NPPES record last updated Dec 29, 2022
Key facts
- NPI
- 1457071532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 744406 (NY)
- Practice address
- 1450 Western Ave Ste 102
Albany, NY 12203-3539 - Phone
- (518) 463-0050
- NPI assigned
- Aug 30, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Group of Albany, PC
Amoskeag Anesthesia PLLC
Practice addresses (Care Compare)
1450 Western Ave
Suite 102
Albany, NY 12203-3539
Phone (518) 463-0050
580 Court St
Keene, NH 03431-1718
Phone (603) 354-5400
Hospital & facility affiliations
- Cheshire Medical Center
- St Peter'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230125001103 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7911378237 | Reassigns benefits to 1 organization |
| I20260109000947 | NH | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7911378237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Group of Albany, PC | Current |
Accepting new patients | |
| Amoskeag Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
580 Court St
Keene, NH 03431
Phone (603) 354-5454
1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
1450 Western Ave
Ste 102
Albany, NY 12203
1 Wellness Dr
Burnt Hills, NY 12027
Phone (518) 831-1550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 744406 | NY | Yes |
Addresses
Primary practice location
1450 Western Ave Ste 102
Albany, NY 12203-3539
Mailing address
1450 Western Ave Ste 102
Albany, NY 12203-3539
Phone (518) 463-0050
NPI Registry JSON
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1457071532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 WESTERN AVE STE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033539",
"telephone_number": "518-463-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 WESTERN AVE STE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033539",
"telephone_number": "518-463-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILLY",
"first_name": "BRYAN",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-30",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "744406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
- Aquila McFarlane
- Sean Peter McGarry
- Christina M McGavern
- Lisa McGeough
- Colleen McGill
- Elizabeth Ann McGinn
- Kelsey McGinn
- Michael H McGinn
- McGinnis Womens Medical Care, PC
- Amy Beth McGinnis
All providers in Albany, NY · Certified Registered Nurse Anesthetist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.