Individual provider Active NPI

Brady W Sprague, CRNA

  • Certified Registered Nurse Anesthetist
  • Lehi, UT
National Provider Identifier
1508312695
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6091514-4406 Issued in UT
Practice address
3000 N Triumph Blvd
Lehi, UT 84043-4999
Phone
(385) 345-3000
Fax
(770) 701-6676
NPI assigned
Aug 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 112896 UT
Certified Registered Nurse Anesthetist 367500000X 6091514-4406 UT Primary

Addresses

Primary practice location

3000 N Triumph Blvd
Lehi, UT 84043-4999

Mailing address

PO Box 3750
Salt Lake City, UT 84110-3750
Phone (800) 748-4868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT, MT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20161019002184 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547558801 Reassigns benefits to 1 organization
I20180509002937 UT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547558801 Reassigns benefits to 1 organization
I20240202003129 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547558801 Reassigns benefits to 1 organization

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
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

2800 10TH Ave N
Billings, MT 59101-0703
Phone (406) 657-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112896UTMDCertified Registered Nurse Anesthetist
6091514-4406UTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
U S Anesthesia Partners of Montana P C Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2024 Accepting new patients
Billings Clinic CurrentSince Jul 1, 2024 Accepting new patients
Billings Clinic CurrentSince Jul 1, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
NPH Anesthesia of Utah, LLC CurrentSince May 1, 2021 Accepting new patients
Anesthesia Associates of Boise, P.a. CurrentSince Sep 21, 2016 Accepting new patients

Locations

338 E Bannock St
Boise, ID 83712
Phone (208) 336-0895

2537 W State St
Ste 200
Boise, ID 83702
Phone (208) 336-0895

1000 State St
McCall, ID 83638
Phone (208) 634-2221

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450

3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1508312695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3750",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103750",
            "telephone_number": "800-748-4868",
            "fax_number": "770-701-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N TRIUMPH BLVD",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840434999",
            "telephone_number": "385-345-3000",
            "fax_number": "770-701-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "BRADY",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "112896",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "6091514-4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.