Barbara J Brezavar, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Branson, MO
NPI 1477548568 · NPPES record last updated May 21, 2009
Key facts
- NPI
- 1477548568
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 098991 (MO)
- Practice address
- 251 Skaggs Rd
Branson, MO 65616-2031 - Phone
- (800) 277-8151
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 098991 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westport Anesthesia Services of Missouri, PC | Past | Accepting new patients | |
| Westport Anesthesia Services of Kansas PA | Past | Accepting new patients | |
| Ozark Anesthesia Associates, Inc. | Past |
Accepting new patients | |
| White River Anesthesia Associates, Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 098991 | MO | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915084628 | Medicaid | MO | |
| P00194818 | Other | MO | RAILROAD |
| 158888001 | Medicaid | AR | |
| 15566 | Other | MO | COX HEALTH |
| 738921 | Other | MO | HEALTHLINK |
| 194111 | Other | MO | BCBS |
| 200077430A | Medicaid | OK | |
| 20174319965616B007 | Other | MO | TRICARE |
Other providers in Branson, MO
- Layna Marie Brantner
- James T Brawner
- Ami Rachelle Bremer
- Kaci Bremer
- Thomas George Brett
- Brian D Dieterle MD PC
- Bridges Medical Services P.C.
- David Leroy Bright Jr.
- Billy Brown
- Denver Brown
All providers in Branson, MO · Certified Registered Nurse Anesthetist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.