Active NPI
Brady Thompson, CRNA
- Certified Registered Nurse Anesthetist
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 736869
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (903) 531-4500
- NPI assigned
- Oct 25, 2010
- Last updated
- Mar 5, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 736869 | TX | |
| Registered Nurse | 163W00000X | 121651 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | 736869 | TX | Primary |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
PO Box 841656
Dallas, TX 75284-1656
Phone (903) 531-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75-0818167-015 | Other | TX | TRICARE |
| 220429902 | Medicaid | TX | |
| 8174UJ | Other | TX | BCBS |
| P01408239 | Other | TX | RAILROAD MEDICARE |
| 220429901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Line Ave
Suite 206
Shreveport, LA 71101-4649
Phone (318) 213-3800
2901 4TH St
Longview, TX 75605-5128
Phone (903) 232-3606
3315 S Alameda St
Corpus Christi, TX 78411-1820
Phone (214) 687-0001
409 Cottage Rd
Carthage, TX 75633-1466
Phone (903) 693-3841
708 N Ashley Ridge Loop
Suite 400
Shreveport, LA 71106-7234
Phone (318) 300-3643
7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121651 | LA | MD | Registered Nurse |
| 736869 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Good Shepherd Medical Center | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Indep Anesthesia Services of la LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novus Louisiana Medical Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tandem Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia III PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Health Northern Louisiana | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Longview Medical Center LP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Center Anesthesiologists | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Longview Medical Center LP | Current | Accepting new patients | |
| Christus Good Shepherd Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Health Northern Louisiana | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grasshopper Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Caddo Anesthesia Billing | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Laser & Cataract Center of Shreveport LLC | Past | Accepting new patients |
Locations (25 of 29)
3220 N St NW
Washington, DC 20007
Phone (202) 338-6051
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
1500 Line Ave
Shreveport, LA 71101
Phone (318) 213-3754
1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800
3217 Mabel St
Shreveport, LA 71103
445 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 869-1130
708 N Ashley Ridge Loop
Ste 400
Shreveport, LA 71106
Phone (318) 210-3315
14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006
3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002
409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841
110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560
3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400
6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818
6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000
200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300
811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411
3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703
4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302
200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326
Organizations & group practices 20
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.
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1356968952
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1669469748
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1336926872
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Marshall, TX
- NPI 1760908404
Nurse Anesthetist, Certified Registered
-
dba Christus St. Michael Health System
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1932635752
Nurse Anesthetist, Certified Registered
-
dba Longview Regional Medical Center
- Certified Registered Nurse Anesthetist
- Longview, TX
- NPI 1508824038
Nurse Anesthetist, Certified Registered
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
LA, Nurse Anesthetist, Certified Registered
-
dba Christus Shreveport-Bossier Health System
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1801822762
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bossier City, LA
- NPI 1275230443
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Longview Regional Medical Center
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912118134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1649570615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841656",
"city": "DALLAS",
"state": "TX",
"postal_code": "752841656",
"telephone_number": "903-531-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAWSON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757012036",
"telephone_number": "903-531-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BRADY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-25",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "736869",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "121651",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "736869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "75-0818167-015",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220429902",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8174UJ",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01408239",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220429901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.