Active NPI
Diana Busjra Brown, CRNA
- Certified Registered Nurse Anesthetist
- Sullivan, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2015027444
- Practice address
- 751 Sappington Bridge Rd
Sullivan, MO 63080-2354 - Phone
- (573) 468-4186
- NPI assigned
- May 27, 2015
- Last updated
- Feb 6, 2024
- Sex
- Female
- 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 | 2015027444 | MO | Primary |
Addresses
Primary practice location
751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Mailing address
751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Phone (573) 468-4186
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910025751 | Medicaid | MO | |
| ENROLLED | Medicaid | IL |
Other names 1
- Diana Busjra Brown
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015027444 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Baptist Hospital of Sullivan | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Ambulatory Anesthesia Services of St. Charles, LLC | Current | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| SLH Physicians LLC | Current | Accepting new patients | |
| Viking Anesthesia Services, LLC | Current | Accepting new patients | |
| Novamed Eye Surgery Center of North County, LLC | Past | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Past | Accepting new patients |
Locations
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-1320
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
633 Emerson Rd
Ste 140
Saint Louis, MO 63141
Phone (314) 991-2090
114 Piper Hill Dr
Ste 101
Saint Peters, MO 63376
Phone (636) 706-0560
4203 S Cloverleaf Dr
Saint Peters, MO 63376
Phone (636) 346-6051
5200 Executive Centre Pkwy
Ste 100
Saint Peters, MO 63376
Phone (636) 928-1670
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Anesthesiology Physician
- Saint Peters, MO
- NPI 1467634097
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
dba Missouri Baptist Sullivan Hospital
- Multi-Specialty Clinic/Center
- Sullivan, MO
- NPI 1215945480
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1881668051
-
- Anesthesiology Physician
- Creve Coeur, MO
- NPI 1962809244
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
dba University Physicians Specialty Care Associates
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
dba Missouri Baptist Sullivan Hospital
- Ambulance
- Sullivan, MO
- NPI 1831343268
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
dba Cuba Medical Office
- Rural Health Clinic/Center
- Cuba, MO
- NPI 1396827408
-
dba St. Louis Children's Surgery Center
- Ambulatory Surgical Clinic/Center
- Saint Louis, MO
- NPI 1285630160
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Capital Region Medical Center
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
dba University of Missouri Health Care
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1487033114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 SAPPINGTON BRIDGE RD",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630802354",
"telephone_number": "573-468-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 SAPPINGTON BRIDGE RD",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630802354",
"telephone_number": "573-468-4186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DIANA",
"middle_name": "BUSJRA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2015027444",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910025751",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "One Hospital Drive",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "65212",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "751 Sappington Bridge Rd",
"city": "Sullivan",
"state": "MO",
"country_code": "US",
"postal_code": "630802354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DIANA",
"last_name": "BUSJRA BROWN",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sullivan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.