Individual provider Active NPI

Bryan Hurt, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1487617239
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
76623 Issued in TN
Practice address
501 20TH St
Suite 606
Knoxville, TN 37916-1809
Phone
(865) 546-8040
Fax
(865) 541-2787
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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 76623 TN Primary

Addresses

Primary practice location

501 20TH St
Suite 606
Knoxville, TN 37916-1809

Mailing address

5118 McDonald Rd
Collegedale, TN 37315
Phone (423) 396-9745

Other identifiers 5

IdentifierTypeStateIssuer
3620504MedicaidTN
430074986OtherTNTRAVELERS MEDICARE
4046037OtherTNBLUE CROSS
100025472OtherTNPHP TENNCARE
4046037OtherTNBLUECARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061025000277 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688671258 Reassigns benefits to 5 organizations
I20081230000187 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688671258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Anesthesia PLLCGroup PAC ID 3375881279, 3 clinicians

Practice addresses (Care Compare)

1301 McCallie Ave
Chattanooga, TN 37404-2934
Phone (423) 648-2395

4700 Battlefield Pkwy
Suite 100
Ringgold, GA 30736-5167
Phone (706) 806-0170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
40092TNMDPharmacist
76623TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Anesthesia Services, PLC Nurse Anesthetist, Certified Registered CurrentSince Nov 19, 2014 Accepting new patients
Prime Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2019 Accepting new patients
Crna Associates, P.C. CurrentSince Jul 17, 2006 Accepting new patients
Earley Daze Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Uap Chattanooga Pain, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2013 Accepting new patients
Anesthesiologists Associated PC Past Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesiology Consultants Exchange, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
American Anesthesiology of Tennessee, P.C. Past Accepting new patients

Locations

1111 Professional Blvd
Dalton, GA 30720
Phone (404) 226-2232

146 Smitherman Rd
Ringgold, GA 30736
Phone (423) 667-3225

4700 Battlefield Pkwy
Ste 100
Ringgold, GA 30736
Phone (706) 806-0170

1801 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 855-6800

5751 Uptain Rd
Ste 100
Chattanooga, TN 37411
Phone (423) 855-8406

1301 McCallie Ave
Chattanooga, TN 37404
Phone (423) 622-4700

1016 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 648-4525

9430 Park West Blvd
Ste 320
Knoxville, TN 37923
Phone (615) 441-4477

Dept 888728
Knoxville, TN 37995

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1487617239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 MCDONALD RD",
            "city": "COLLEGEDALE",
            "state": "TN",
            "postal_code": "37315",
            "telephone_number": "423-396-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 20TH ST",
            "address_2": "SUITE 606",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161809",
            "telephone_number": "865-546-8040",
            "fax_number": "865-541-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "BRYAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "76623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3620504",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "430074986",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4046037",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "100025472",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE",
            "identifier": "4046037",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.