NPIMap

Organization Active NPI

BMR Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
National Provider Identifier
1619444502
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
BMR ANESTHESIA PLLC
Practice address
1851 N 9TH Ave Ste B
Pensacola, FL 32503-5201
Phone
(850) 479-1805
NPI assigned
Oct 29, 2018
Reactivated
Dec 4, 2025
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Bobby Ray Beal III, CRNANPI 1225477888
Title
Chief Executive Officer
Phone
(205) 292-5766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

1851 N 9TH Ave Ste B
Pensacola, FL 32503-5201

Mailing address

400 10TH St E
Waconia, MN 55387-4552
Phone (952) 442-9770

Other practice location 1

135 Medical Park Dr Ste 2B
Andalusia, AL 36420-5352
Phone (850) 753-8075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190108002942 FL Part B Supplier - Clinic/Group Practice 1052657319 Receives reassigned benefits from 64 practitioners
Practice locations: Pensacola, FL; Niceville, FL; Panama City, FL; Crestview, FL; Lauderdale Lakes, FL
O20190315000811 AL Part B Supplier - Clinic/Group Practice 1052657319 Receives reassigned benefits from 13 practitioners
Practice locations: Andalusia, AL; Atmore, AL; Mobile, AL

National Provider Directory

National Provider Directory

Locations

135 Medical Park Dr
Ste 2B
Andalusia, AL 36420
Phone (850) 753-8075

855 Downtowner Blvd
Mobile, AL 36609

180 E Redstone Ave
Crestview, FL 32539

1399 Jenks Ave
Ste 12J
Panama City, FL 32401
Phone (850) 532-6303

1502 Creighton Rd
Ste C
Pensacola, FL 32504
Phone (850) 437-3777

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1619444502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 10TH ST E",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N 9TH AVE STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325035201",
            "telephone_number": "850-479-1805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Medical Park Dr Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Andalusia",
            "state": "AL",
            "postal_code": "364205352",
            "country_code": "US",
            "telephone_number": "850-753-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BMR ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2025-12-04",
        "certification_date": "2024-07-29",
        "deactivation_date": "2025-11-19",
        "reactivation_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "205-292-5766",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.