Individual provider Active NPI

Brent Alan Bushey, CRNA

  • Certified Registered Nurse Anesthetist
  • McMinnville, OR
National Provider Identifier
1649242579
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
201702031CRNA Issued in OR
Practice address
2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone
(503) 472-6131
Fax
(503) 435-6349
NPI assigned
Feb 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 RN00128990 WA
Certified Registered Nurse Anesthetist 367500000X 201702031CRNA OR Primary

Addresses

Primary practice location

2700 SE Stratus Ave
McMinnville, OR 97128-6255

Mailing address

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-4514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170629003068 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911276241 Reassigns benefits to 1 organization
I20220328001865 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911276241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcus Daly Memorial Hospital CorporationGroup PAC ID 5597664474, 97 clinicians

Practice addresses (Care Compare)

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211

Hospital & facility affiliations

  • Bitterroot Health - Daly Hospital Hospital, Hamilton, MT, CCN 271340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00128990WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corp CurrentSince Jan 17, 2022 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Jan 17, 2022 Accepting new patients
Willamette Valley Clinics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2017 Accepting new patients

Locations

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

2700 SE Stratus Ave
Unit 302
McMinnville, OR 97128
Phone (503) 474-2565

Organizations & group practices 4

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.

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": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1649242579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-435-4514",
            "fax_number": "503-472-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-472-6131",
            "fax_number": "503-435-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHEY",
        "first_name": "BRENT",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "RN00128990",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OR",
            "license": "201702031CRNA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.