Individual provider Active NPI

Brian Robert Walford, CRNA

  • Certified Registered Nurse Anesthetist
  • Victoria, TX
National Provider Identifier
1639187131
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
736013 Issued in TX
Practice address
1501 E Mockingbird LN
Suite 220
Victoria, TX 77904-2155
Phone
(361) 573-6291
Fax
(361) 576-2434
NPI assigned
Aug 3, 2006
Last updated
Aug 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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 736013 TX Primary

Addresses

Primary practice location

1501 E Mockingbird LN
Suite 220
Victoria, TX 77904-2155

Mailing address

PO Box 4897
Houston, TX 77210-4897
Phone (903) 787-5850

Other practice location 1

2550 N Esplanade St
Cuero, TX 77954-4736
Phone (361) 275-6191

Other identifiers 2

IdentifierTypeStateIssuer
84981UOtherTXBLUE CROSS
171759701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000825 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870547177 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dewitt Medical DistrictGroup PAC ID 3072421395, 32 clinicians
Am Anesthesia Services of South Texas-Cuero PLLCGroup PAC ID 0941567234, 7 clinicians

Practice addresses (Care Compare)

2550 N Esplanade
Cuero Community Hospital
Cuero, TX 78954-4736
Phone (361) 275-6191

2550 N Esplanade St
Cuero, TX 77954-4736
Phone (361) 275-6191

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
736013TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dewitt Medical District CurrentSince Apr 1, 2022 Accepting new patients
Val Verde Hospital Corporation CurrentSince Aug 31, 2015 Accepting new patients
Jackson County Hospital District CurrentSince May 2, 2017 Accepting new patients
Lavaca Hospital District CurrentSince Jun 12, 2015 Accepting new patients
Dewitt Medical District Current Accepting new patients
Xenon Medical of Texas PLLC CurrentSince Jun 9, 2015 Accepting new patients
Val Verde Hospital Corporation Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2015 Accepting new patients
Jackson County Hospital District CurrentSince May 2, 2017 Accepting new patients
Dewitt Medical District CurrentSince Apr 1, 2022 Accepting new patients
Am Anesthesia Services of South Texas-Cuero PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2017 Accepting new patients
Lavaca Hospital District Current Accepting new patients
Harlingen Anesthesia Associates Nurse Anesthetist, Certified Registered PastSince Feb 1, 2003 Accepting new patients
Harlingen Anesthesia Associates Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Lavaca Hospital District Past Accepting new patients
Gulf Shore Anesthesia Associates PA Past Accepting new patients

Locations

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

1400 N Texana St
Hallettsville, TX 77964
Phone (361) 798-3671

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

421 School St
Ste 110
Tomball, TX 77375
Phone (281) 357-1977

105 James Coleman Dr
Victoria, TX 77904
Phone (361) 578-0234

2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Organizations & group practices 16

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 16

Hospital & facility affiliations 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1639187131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4897",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104897",
            "telephone_number": "903-787-5850",
            "fax_number": "903-787-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E MOCKINGBIRD LN",
            "address_2": "SUITE 220",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042155",
            "telephone_number": "361-573-6291",
            "fax_number": "361-576-2434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 N Esplanade St",
            "address_purpose": "LOCATION",
            "city": "Cuero",
            "state": "TX",
            "postal_code": "779544736",
            "country_code": "US",
            "telephone_number": "361-275-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALFORD",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "736013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "84981U",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171759701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.