Individual provider Active NPI

Bradley McNeil Johnson

  • Certified Registered Nurse Anesthetist
  • Silverton, OR
National Provider Identifier
1548531973
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
202009567CRNA-PP Issued in OR
Practice address
342 Fairview St
Silverton, OR 97381-1917
Phone
(503) 873-1500
NPI assigned
Jan 17, 2012
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 AP60436137 WA
Certified Registered Nurse Anesthetist 367500000X 202009567CRNA-PP OR Primary

Addresses

Primary practice location

342 Fairview St
Silverton, OR 97381-1917

Mailing address

PO Box 94645
Seattle, WA 98124-6945
Phone (509) 474-6841

Other practice location 1

5210 E Hook Dr
Newberg, OR 97132-4025
Phone (801) 717-6790

Other practice location 2

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bjohnson203075@samhealth.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160208000762 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1951534643 Reassigns benefits to 13 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
Premier Anesthesia of Oregon PCGroup PAC ID 2961857123, 30 clinicians

Practice addresses (Care Compare)

1001 N Providence Dr
Newberg, OR 97132-7485
Phone (503) 537-1555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.37 of 100Reported as group
Quality
92.31
Promoting interoperability
100
Improvement activities
40
Cost
80.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60436137WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Premier Anesthesia of Oregon PC CurrentSince Sep 13, 2023 Accepting new patients
Albany General Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Oct 15, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Silverton Health CurrentSince Jun 3, 2021 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Oct 15, 2022 Accepting new patients
Albany General Hospital CurrentSince Oct 1, 2021 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Samaritan Pacific Health Services, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Feb 27, 2021 Accepting new patients
Silverton Health Current Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Oct 1, 2021 Accepting new patients
Willamette Valley Clinics LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Oct 15, 2022 Accepting new patients
Silverton Health CurrentSince Jun 3, 2021 Accepting new patients
Columbia Anesthesia Group P S CurrentSince Dec 28, 2020 Accepting new patients
Albany General Hospital CurrentSince Oct 1, 2021 Accepting new patients

Locations

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

525 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 258-2101

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

1001 N Providence Dr
Newberg, OR 97132
Phone (503) 216-1538

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

1330 Commercial St SE
Salem, OR 97302
Phone (503) 763-1973

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

7300 SW Childs Rd
Ste A
Tigard, OR 97224
Phone (360) 828-5396

Interoperability endpoints

  • Direct secure messaging: bjohnson203075@samhealth.direct-ci.com

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 1

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": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1548531973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94645",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246945",
            "telephone_number": "509-474-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FAIRVIEW ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973811917",
            "telephone_number": "503-873-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 E Hook Dr",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971324025",
            "country_code": "US",
            "telephone_number": "801-717-6790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRADLEY",
        "middle_name": "MCNEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-17",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60436137",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "202009567CRNA-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjohnson203075@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.