Individual provider Active NPI

Brian Stephen Videan, CRNA

  • Certified Registered Nurse Anesthetist
  • Ann Arbor, MI
National Provider Identifier
1568614386
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704213012 Issued in MI
Practice address
1500 E Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109-5048
Phone
(734) 936-4280
NPI assigned
Oct 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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 4704213012 MI Primary

Addresses

Primary practice location

1500 E Medical Center Dr
1H247 University Hospital
Ann Arbor, MI 48109-5048

Mailing address

3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090223000442 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9638234800 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hillsdale Community Health CenterGroup PAC ID 7214846260, 66 clinicians

Practice addresses (Care Compare)

168 S Howell St
Hillsdale, MI 49242-2040
Phone (517) 437-4451

Hospital & facility affiliations

  • Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Corporation of Michigan CurrentSince Sep 1, 2022 Accepting new patients
South Shore Anesthesia Staffing Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Sparrow Clinton Hospital CurrentSince Sep 15, 2021 Accepting new patients
Anesthesiology of Marquette, P.C. CurrentSince Jan 6, 2020 Accepting new patients
Northstar Anesthesia of Michigan II PC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2022 Accepting new patients
Sparrow Clinton Hospital Current Accepting new patients
Hillsdale Community Health Center CurrentSince Sep 1, 2022 Accepting new patients
Hillsdale Community Health Center CurrentSince Sep 1, 2022 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Sep 19, 2022 Accepting new patients
Mymichigan Medical Center Sault CurrentSince Sep 19, 2022 Accepting new patients
Hospitalist Medicine Physicians of Michigan-Alpena PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2021 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Apr 10, 2013 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Wa Foote Memorial Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2013 Accepting new patients
Sparrow Clinton Hospital Nurse Anesthetist, Certified Registered CurrentSince Sep 15, 2021 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

700 Lakeshire Trl
Adrian, MI 49221
Phone (419) 824-7419

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1500 E Medical Center Dr
Fl 2
Ann Arbor, MI 48109
Phone (734) 936-5738

1500 E Medical Center Dr
#1H247
Ann Arbor, MI 48109
Phone (734) 936-4280

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

205 S East Ave
Jackson, MI 49201
Phone (517) 205-2103

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

1414 W Fair Ave
Ste 235
Marquette, MI 49855
Phone 9062732223103

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

500 Osborn Blvd
Sault South Marie, MI 49783
Phone (906) 635-4350

200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883

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 and National Provider Directory roles.

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": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1568614386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "1H247 UNIVERSITY HOSPITAL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095048",
            "telephone_number": "734-936-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDEAN",
        "first_name": "BRIAN",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704213012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.