Individual provider Active NPI

Bryan Bardash, CRNA

  • Certified Registered Nurse Anesthetist
  • Cornelia, GA
National Provider Identifier
1609234566
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN219736 Issued in GA
Practice address
150 Wyndage CT
Cornelia, GA 30531-8108
Phone
(478) 361-7940
NPI assigned
Feb 8, 2016
Last updated
Feb 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 RN219736 GA Primary
Critical Care Medicine Registered Nurse 163WC0200X RN219736 GA

Addresses

Primary practice location

150 Wyndage CT
Cornelia, GA 30531-8108

Mailing address

150 Wyndage CT
Cornelia, GA 30531-8108
Phone (478) 361-7940

Other practice location 1

26 Hampton Springs Ct
Columbia, SC 29209-1844
Phone (478) 361-7940

Other practice location 2

225 Huntington Shoals Dr
Athens, GA 30606-1877
Phone (478) 361-7940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160620000552 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395036511 Reassigns benefits to 3 organizations
I20230612001112 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395036511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Carolina School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Anesthesia Solutions LLCGroup PAC ID 9931594942, 21 clinicians

Practice addresses (Care Compare)

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (423) 639-0941

3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (423) 639-0941

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
Union County Hospital Authority CurrentSince Mar 1, 2020 Accepting new patients
Union County Hospital Authority CurrentSince Mar 1, 2020 Accepting new patients
Cobb Enterprises LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2020 Accepting new patients
Friendship Surgery Center LLC Past Accepting new patients

Locations

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

5005 Lanier Islands Pkwy
Ste B
Buford, GA 30518

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1609234566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WYNDAGE CT",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305318108",
            "telephone_number": "478-361-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WYNDAGE CT",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305318108",
            "telephone_number": "478-361-7940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Hampton Springs Ct",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292091844",
            "country_code": "US",
            "telephone_number": "478-361-7940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Huntington Shoals Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306061877",
            "country_code": "US",
            "telephone_number": "478-361-7940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARDASH",
        "first_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN219736",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "GA",
            "license": "RN219736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.