Individual provider Active NPI

Brock Kirian, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Bellevue, OH
National Provider Identifier
1649754201
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
019759 Issued in OH
Practice address
1400 W Main St
Bellevue, OH 44811-9088
Phone
(419) 483-4040
NPI assigned
Sep 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 019759 OH Primary

Addresses

Primary practice location

1400 W Main St
Bellevue, OH 44811-9088

Mailing address

8684 Royalhaven Dr
North Royalton, OH 44133-1655
Phone (567) 230-0323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002002123 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032461033 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Practice addresses (Care Compare)

269 Portland Way S
Galion, OH 44833-2312
Phone (419) 468-4841

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

629 N Sandusky Ave
Bucyrus, OH 44820-1821
Phone (419) 562-4677

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Hospital & facility affiliations

  • Avita Ontario Hospital, Ontario, OH, CCN 360365
  • Bucyrus Community Hospital Hospital, Bucyrus, OH, CCN 361316
  • Galion Community Hospital Hospital, Galion, OH, CCN 361325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019759OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 23, 2022 Accepting new patients
Ams Ohio PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Jan 13, 2021 Accepting new patients

Locations

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077

465 N Cleveland Ave
Ste 150
Westerville, OH 43082
Phone (614) 562-1546

Organizations & group practices 6

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 3

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1649754201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8684 ROYALHAVEN DR",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441331655",
            "telephone_number": "567-230-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W MAIN ST",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119088",
            "telephone_number": "419-483-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRIAN",
        "first_name": "BROCK",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "019759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.