Individual provider Active NPI

Bradley S. Keller, CRNA

  • Certified Registered Nurse Anesthetist
  • Chattanooga, TN
National Provider Identifier
1508822032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN0000010562 Issued in TN
Practice address
1801 Gunbarrel Rd
Chattanooga, TN 37421-3130
Phone
(423) 855-6861
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 APN0000010562 TN Primary

Addresses

Primary practice location

1801 Gunbarrel Rd
Chattanooga, TN 37421-3130

Mailing address

7446 British Rd
Ooltewah, TN 37363-5511
Phone (423) 344-9826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060221000471 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537175039 Reassigns benefits to 2 organizations
I20210721002268 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537175039

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

941 Spring Creek Rd
Chattanooga, TN 37412-3909
Phone (865) 546-8040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000010562TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 30, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince May 30, 2024 Accepting new patients
Uap Chattanooga Pain, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2013 Accepting new patients
Volunteer Anesthesia United, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Covenant Anesthesia Group, PC Past Accepting new patients
Woods Memorial Hospital Past Accepting new patients

Locations

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

7450 Tyner Rd
Chattanooga, TN 37421
Phone (423) 697-8754

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

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

1016 Executive Dr
Hixson, TN 37343
Phone (423) 414-2770

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

Dept 888728
Knoxville, TN 37995

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

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.

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508822032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7446 BRITISH RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373635511",
            "telephone_number": "423-344-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GUNBARREL RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213130",
            "telephone_number": "423-855-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "BRADLEY",
        "middle_name": "S.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "APN0000010562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.