Active NPI
Brady Blann, CRNA
- Certified Registered Nurse Anesthetist
- Pueblo, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- C-APN.0001173-C-CRNA
- Practice address
- 400 W 16TH St
Pueblo, CO 81003-2745 - Phone
- (719) 584-4000
- NPI assigned
- Aug 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | C-APN.0001173-C-CRNA | CO | Primary |
Addresses
Primary practice location
400 W 16TH St
Pueblo, CO 81003-2745
Mailing address
400 W 16TH St
Pueblo, CO 81003-2745
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX, MO
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-8171
1600 Wallace Blvd
Greater Houston Anesthesiology
Amarillo, TX 79106-1799
Phone (806) 477-8883
Hospital & facility affiliations
- Golden Valley Memorial Hospital
- Bsa Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.16 of 100
- Quality
- 83.25
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 77.27
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.94 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0001173-C-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Reg Martin MD PA | Past | Accepting new patients |
Locations
1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
Interoperability endpoints
- brady.blann.p1@direct.paneye.nextgenshare.com
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.
-
- Rural Health Clinic/Center
- Clinton, MO
- NPI 1003873266
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Clinton, MO
- NPI 1396379830
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
-
- Interventional Pain Medicine Physician
- Addison, TX
- NPI 1053800391
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Amarillo, TX
- NPI 1609187566
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1407191984
-
- General Acute Care Hospital
- Clinton, MO
- NPI 1710075361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533168000000",
"number": "1568940476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W 16TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032745",
"telephone_number": "719-584-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANN",
"first_name": "BRADY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-02",
"last_updated": "2018-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "C-APN.0001173-C-CRNA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.