Active NPI
Brent Alan Bushey, CRNA
- Certified Registered Nurse Anesthetist
- McMinnville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201702031CRNA
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MT
Enrollment records 2
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
Practice addresses (Care Compare)
1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 363-2211
Hospital & facility affiliations
- Bitterroot Health - Daly Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00128990 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corp | Current | Accepting new patients | |
| Marcus Daly Memorial Hospital Corporation | Current | Accepting new patients | |
| Willamette Valley Clinics LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
-
- Family Medicine Physician
- McMinnville, OR
- NPI 1790740520
Nurse Anesthetist, Certified Registered
-
- Orthopaedic Surgery Physician
- Hamilton, MT
- NPI 1457656548
-
- Nephrology Physician
- Hamilton, MT
- NPI 1235997958
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hamilton, MT
- NPI 1659475846
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.