Active NPI
Bradley Alan McCormick, CRNA
- Certified Registered Nurse Anesthetist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN307854
- Practice address
- 1968 Peachtree Rd NW
Atlanta, GA 30309-1281 - Phone
- (404) 605-3775
- NPI assigned
- May 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN2289951 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 817059-01 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | RN307854 | GA | Primary |
Addresses
Primary practice location
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Mailing address
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
Other practice location 1
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (956) 292-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
1265 Hwy 54 W
Suite 103
Fayetteville, GA 30214
Phone (404) 351-1745
1357 Hembree Rd
Suite 100
Roswell, GA 30076-5710
Phone (404) 242-6360
Hospital & facility affiliations
- Piedmont Hospital, Inc
- Northside Hospital Gwinnett
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN307854 | GA | MD | Certified Registered Nurse Anesthetist |
| 817059-01 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radius Anesthesia of Georgia LLC | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients | |
| Piedmont Anesthesia Associates, L.L.C | Current | Accepting new patients | |
| North Atlanta Professional Services LLC | Current | Accepting new patients | |
| Precision Anesthesia Partners LLC | Current | Accepting new patients | |
| Ambulatory Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northlake Anesthesia Professionals, LLC | Current | Accepting new patients | |
| Pain Physicians Anesthesia, LLC | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902
4200 Northside Pkwy NW
Ste 8
Atlanta, GA 30327
Phone (404) 233-3833
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
3240 Northeast Expy NE
Ste 200
Atlanta, GA 30341
1265 Highway 54 W
Ste 103
Fayetteville, GA 30214
Phone (678) 216-0771
1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
466 Green St NE
Gainesville, GA 30501
Phone (404) 242-6360
301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1357 Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 990-9851
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
1491 Montreal Rd
Tucker, GA 30084
Phone (770) 270-1284
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1700474244
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1083284335
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982349296
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1851799373
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1750753786
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
Nurse Anesthetist, Certified Registered
-
- Psychologist
- Atlanta, GA
- NPI 1316959869
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982637419
-
- Anesthesiology Physician
- Alpharetta, GA
- NPI 1194287763
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1407856594
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1861996225
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1508489295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MEDICAL CENTER BLVD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300467694",
"telephone_number": "678-312-1000",
"fax_number": "678-312-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1968 PEACHTREE RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091281",
"telephone_number": "404-605-3775"
}
],
"practiceLocations": [
{
"address_1": "1000 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300467694",
"country_code": "US",
"telephone_number": "956-292-5650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "BRADLEY",
"middle_name": "ALAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-28",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "RN2289951",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "817059-01",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN307854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.