Active NPI
Bradley C. Harville, CRNA
- Certified Registered Nurse Anesthetist
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 649837
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (903) 606-4522
- NPI assigned
- Feb 2, 2006
- Last updated
- May 1, 2024
- 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 | 649837 | TX | Primary |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
PO Box 452319
Sunrise, FL 33345-2319
Other practice location 1
1613 Harrison Pkwy
#200
Sunrise, FL 33323-2853
Phone (954) 838-2371
Other practice location 2
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1O6211 | Other | TX | MEDICARE |
| 165123401 | Medicaid | TX | |
| 165123408 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 649837 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Team Texas, PA | Current | Accepting new patients | |
| Christus Good Shepherd Medical Center | Current | Accepting new patients | |
| Community Medicine Associates | Current | Accepting new patients | |
| The University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Quitman Hospital LLC | Current | Accepting new patients | |
| Northstar Anesthesia II PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Spine Team Texas, PA | Current | Accepting new patients | |
| Spine Team Texas PA | Current | Accepting new patients | |
| Quitman Hospital LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| University of Texas Health Science Center at San Antonio | Current | Accepting new patients | |
| Christus Good Shepherd Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994
11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505
3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908
4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555
7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700
903 W Martin St
#492
San Antonio, TX 78207
Phone (210) 358-3441
1545 E Southlake Blvd
Ste 100
Southlake, TX 76092
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
Organizations & group practices 14
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.
-
dba University Medicine Associates
- Family Medicine Physician
- San Antonio, TX
- NPI 1245313329
-
dba UT Health Physicians
- Internal Medicine Physician
- San Antonio, TX
- NPI 1720051717
-
- Anesthesiology Physician
- Marshall, TX
- NPI 1760908404
Nurse Anesthetist, Certified Registered
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Anesthesiology Physician
- Burleson, TX
- NPI 1477066405
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Quitman, TX
- NPI 1629571773
Nurse Anesthetist, Certified Registered
-
- Neurological Surgery Physician
- Southlake, TX
- NPI 1629082995
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
-
- Critical Access Hospital
- Quitman, TX
- NPI 1477061885
-
- Physical Medicine & Rehabilitation Physician
- Allen, TX
- NPI 1053798983
-
- Specialist
- Rockwall, TX
- NPI 1609009505
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University Health
- General Acute Care Hospital
- San Antonio, TX
- NPI 1821011248
-
dba UT Health San Antonio Multispecialty & Research Hospital
- General Acute Care Hospital
- San Antonio, TX
- NPI 1326829904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1457323586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452319",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333452319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAWSON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757012036",
"telephone_number": "903-606-4522"
}
],
"practiceLocations": [
{
"address_1": "1613 Harrison Pkwy",
"address_2": "#200",
"address_purpose": "LOCATION",
"city": "Sunrise",
"state": "FL",
"postal_code": "333232853",
"country_code": "US",
"telephone_number": "954-838-2371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4502 Medical Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294402",
"country_code": "US",
"telephone_number": "210-358-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARVILLE",
"first_name": "BRADLEY",
"middle_name": "C.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "649837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1O6211",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165123401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165123408",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.