NPIMap

Individual provider Active NPI

Brennan Victor Russell, CRNA

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
National Provider Identifier
1528404704
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
322 Issued in NC
Practice address
300 New Bern Ave
Raleigh, NC 27610-1111
Phone
(919) 350-8000
NPI assigned
May 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 322 NC Primary
Registered Nurse 163W00000X 265185 NC
Certified Registered Nurse Anesthetist 367500000X 111111111 PA

Addresses

Primary practice location

300 New Bern Ave
Raleigh, NC 27610-1111

Mailing address

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone (901) 907-8707

Other practice location 1

2430 Emerald Pl Ste 201
Greenville, NC 27834-5743
Phone (252) 752-2140

Other practice location 2

2817 Rock Merritt
Fort Bragg, NC 28310-0001
Phone (901) 907-8707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131004000423 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688808652 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

2080 W Arlington Blvd
Suite B
Greenville, NC 27834-3770
Phone (252) 752-2140

401 N Main St
Kenansville, NC 28349-8684
Phone (910) 296-2723

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3827

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322NCMDCertified Registered Nurse Anesthetist
111111111PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Regional Medical Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Apr 22, 2015 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jul 28, 2025 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Dec 15, 2017 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 9, 2013 Accepting new patients
Nash Hospitals Inc CurrentSince Jun 20, 2015 Accepting new patients
Nash Hospitals Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 20, 2015 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Sep 1, 2019 Accepting new patients
Sampson Regional Medical Services, LLC Current Accepting new patients
Cumberland County Hospital System Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2015 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Scotland Memorial Hospital Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Jul 28, 2025 Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Bladen Medical Associates Past Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

603 Beaman St
Ste 200
Clinton, NC 28328
Phone (910) 592-8711

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 201
Greenville, NC 27834
Phone (252) 752-2140

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1528404704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "901-907-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101111",
            "telephone_number": "919-350-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Emerald Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278345743",
            "country_code": "US",
            "telephone_number": "252-752-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2817 Rock Merritt",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283100001",
            "country_code": "US",
            "telephone_number": "901-907-8707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRENNAN",
        "middle_name": "VICTOR",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "322",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "265185",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "111111111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.