Bruce C. Genga, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Northborough, MA
NPI 1487615217 · NPPES record last updated Sep 16, 2021
Key facts
- NPI
- 1487615217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN200044 (MA)
- Practice address
- 65 Newton St
Northborough, MA 01532-1114 - Phone
- (508) 393-6590
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Medical Circle of America PLLC
Practice addresses (Care Compare)
1 Berkshire SQ
Suite 110
Adams, MA 01220-1341
Phone (413) 743-9934
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070730000025 | MA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1254432693 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Circle of America PLLC | Current |
Accepting new patients | |
| Anesthesia Professionals, Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Lawrence Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Metropolitan Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Central Mass Anesthesia Affiliates Inc. | Past | Accepting new patients | |
| Cataract and Laser Center Associates PC | Past |
Accepting new patients | |
| NSPG Billing LLC | Past | Accepting new patients | |
| A&B Anesthesia Associates, PC | Past |
Accepting new patients |
Locations
1 Berkshire Sq
Ste 110
Adams, MA 01220
Phone (413) 743-9934
1493 Cambridge St
Cambridge, MA 02139
Phone (617) 665-1185
60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000
145 West St
Milford, MA 01757
Phone (508) 381-5600
146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000
123 Summer St
Worcester, MA 01608
Phone (508) 363-6000
400 10th St E
Waconia, MN 55387
Interoperability endpoints
- https://api.platform.athenahealth.com/23183/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN200044 | MA | Yes |
Addresses
Primary practice location
65 Newton St
Northborough, MA 01532-1114
Mailing address
65 Newton St
Northborough, MA 01532-1114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110106155A | Medicaid | MA |
Other providers in Northborough, MA
- Michael John Gareau
- Jillian Mae Garofano-Staines
- Nicole Garreffi
- Casey Ross Gauthier
- Robert James Gauthier Jr.
- Gabriell L Gereau
- Melani Gerenia
- Katherine Ghyzel
- Kayla Gildea
- Ginisi Psychiatric & Behavioral Health Services, PLLC
All providers in Northborough, MA · Certified Registered Nurse Anesthetist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2021. 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.