Freida Renee' Bradshaw

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

677343 Issued in TX

Practice address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Phone

(210) 539-9838

Fax

(210) 916-5102

NPI assigned

Mar 7, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1588931174

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Schertz Anesthesia LLC

  • Anesthesiology Physician
  • Schertz, TX
  • NPI 1205491305
  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• CPR Anesthesia, Inc

  • Anesthesiology Physician
  • Aurora, CO
  • NPI 1326436353

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Texas Ams PLLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1174926125

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Youngs Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • New Iberia, LA
  • NPI 1922178599

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Beaumont, TX
  • NPI 1548817471

  Nurse Anesthetist, Certified Registered

  NPD
• Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Webster, TX
  • NPI 1811464936

  Nurse Anesthetist, Certified Registered

  NPD
• Eye 35 ASC. LLC

  • Ambulatory Surgical Clinic/Center
  • Schertz, TX
  • NPI 1285171538
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1487928578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9838",
            "fax_number": "210-916-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9838",
            "fax_number": "210-916-5102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 N Piedras St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799205001",
            "country_code": "US",
            "telephone_number": "915-569-1058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "FREIDA",
        "middle_name": "RENEE'",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "677343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Boy, MD
• Kathleen Mary Boyer, R.D., C.N.S.D.,C.D.E
• Felicia D. Boykins, CRNA
• Robert Edward Boyles, PT
• Edward Grant Bradley, MD
• Harry Cecil Bradstreet Jr.
• Robert Brady, MD
• Amber Jean Brammer, PHARMD
• Heather Marie Brandfellner, D.O.
• Karen Sue Brasfield, RD

• Certified Registered Nurse Anesthetist in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.