Nathan R Broadbent, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

201407290CRNA Issued in OR

Practice address

500 SW Ramsey Ave
Grants Pass, OR 97527-5543

Phone

(541) 472-7267

Fax

(812) 237-0182

NPI assigned

Jun 19, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, ID2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Development Partners LLCGroup PAC ID 5193180610, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nathan.broadbent.p2@direct.elkochc.nextgenshare.com
• Direct secure messaging: nathan.broadbent.p1@direct.elkochc.nextgenshare.com
• Direct secure messaging: nathan.broadbent.d1.p2@direct.elkochc.nextgenshare.com

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.

• Anesthesia Development Partners LLC

  • Certified Registered Nurse Anesthetist
  • Elko, NV
  • NPI 1073227815

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Carson Tahoe Physician Hospital Organization, LLC

  • Anesthesiology Physician
  • Carson City, NV
  • NPI 1063169829

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Western Anesthesia Provider Group-Scherr, P.C.

  • Anesthesiology Physician
  • Elko, NV
  • NPI 1801450572
  Medicare reassignment NPD
• St Alphonsus Professional Medical Services LLC

  • Trauma Surgery Physician
  • Boise, ID
  • NPI 1336166883
  NPD
• St Alphonsus Professional Medical Services LLC

  • Anesthesiology Physician
  • Boise, ID
  • NPI 1386677524
  NPD
• Regional Anesthesia Group Inc

  • Certified Registered Nurse Anesthetist
  • Noblesville, IN
  • NPI 1912160334

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Ruby Dome Anesthesia LLC

  • Anesthesiology Physician
  • Elko, NV
  • NPI 1215006028
  NPD (past)
• Wabash Valley Anesthesia

  • Certified Registered Nurse Anesthetist
  • Noblesville, IN
  • NPI 1720023799

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1538422290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 E BARNETT RD STE H",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048383",
            "telephone_number": "541-789-4281",
            "fax_number": "541-789-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275543",
            "telephone_number": "541-472-7267",
            "fax_number": "812-237-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADBENT",
        "first_name": "NATHAN",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN 9299572",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201407290CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt A Brewster, MD
• Brian Hancock MD
• Jennifer Kathleen Brickey, QMHA
• Allie Brianne Brieske
• Bristol Hospice - Rogue Valley, L.L.C.
• James Aaron Brobisky, PHARMD
• Kaitlynn Ariel Bronte, ND, MS
• Kim Rae Brouhard, LCSW
• Amanda Brown, CADC II, AA, PSS
• Amy Elizabeth Brown, MD

• Certified Registered Nurse Anesthetist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Certified Registered Nurse Anesthetist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.