Individual provider Active NPI

Bruce C. Genga, CRNA

  • Certified Registered Nurse Anesthetist
  • Northborough, MA
National Provider Identifier
1487615217
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN200044 Issued in MA
Practice address
65 Newton St
Northborough, MA 01532-1114
Phone
(508) 393-6590
NPI assigned
Mar 31, 2006
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 RN200044 MA Primary

Addresses

Primary practice location

65 Newton St
Northborough, MA 01532-1114

Mailing address

65 Newton St
Northborough, MA 01532-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000025 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254432693 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Medical Circle of America PLLCGroup PAC ID 7911259718, 4 clinicians

Practice addresses (Care Compare)

1 Berkshire SQ
Suite 110
Adams, MA 01220-1341
Phone (413) 743-9934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN200044MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Anesthesia Professionals, Inc. Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2012 Accepting new patients
Medical Circle of America PLLC CurrentSince Jan 14, 2026 Accepting new patients
Metropolitan Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
NSPG Billing LLC Past Accepting new patients
A&B Anesthesia Associates, PC PastSince Oct 27, 2009 Accepting new patients
Cataract and Laser Center Associates PC PastSince Jan 14, 2026 Accepting new patients
Central Mass Anesthesia Affiliates Inc. 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

  • FHIR API: https://api.platform.athenahealth.com/23183/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1487615217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NEWTON ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NEWTON ST",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321114",
            "telephone_number": "508-393-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENGA",
        "first_name": "BRUCE",
        "middle_name": "C.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN200044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.

Verify at the official NPI Registry.