Individual provider Active NPI

Barbara J Brezavar, CRNA

  • Certified Registered Nurse Anesthetist
  • Branson, MO
National Provider Identifier
1477548568
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
098991 Issued in MO
Practice address
251 Skaggs Rd
Branson, MO 65616-2031
Phone
(800) 277-8151
NPI assigned
Sep 14, 2005
Last updated
May 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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 098991 MO Primary

Addresses

Primary practice location

251 Skaggs Rd
Branson, MO 65616-2031

Mailing address

PO Box 842120
Kansas City, MO 64184-2120
Phone (417) 239-3392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098991MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
White River Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Westport Anesthesia Services of Kansas PA Past Accepting new patients
Ozark Anesthesia Associates, Inc. PastSince Jun 17, 2002 Accepting new patients
Westport Anesthesia Services of Missouri, PC Past Accepting new patients

Organizations & group practices 4

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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1477548568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842120",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641842120",
            "telephone_number": "417-239-3392",
            "fax_number": "417-239-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 SKAGGS RD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162031",
            "telephone_number": "800-277-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZAVAR",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "098991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.