Active NPI
Brandon Keith Martin, CRNA
- Certified Registered Nurse Anesthetist
- Elkhart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 87705
- Practice address
- 600 East Blvd
Elkhart, IN 46514-2483 - Phone
- (574) 523-3193
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 87705 | IN | Primary |
Addresses
Primary practice location
600 East Blvd
Elkhart, IN 46514-2483
Mailing address
20084 Stone Creek Dr
Goshen, IN 46528-6114
Phone (801) 518-3054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2215 Truxtun Ave
Bakersfield, CA 93301-3602
Phone (661) 632-5504
420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 324-4647
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001151 | CA | MD | Family Nurse Practitioner |
| 87705 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coachella Valley Anesthesia a Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Comfort Anesthesia Associates Inc | Current | Accepting new patients | |
| Anesthesia Partners & Management LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| MVG Anesthesia Inc a Professional Nursing Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northeastern Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Garrett S Hilt Certified Registered Nursing Anesthesia Inc | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Excelle Anesthesia Services, Inc. | Current | Accepting new patients | |
| Valley Anesthesia Associates, Inc. | Current | Accepting new patients | |
| Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Great Lakes Anesthesia Indiana and Michigan, PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations (25 of 26)
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
860 Oak Park Blvd
Ste 102
Arroyo Grande, CA 93420
Phone (805) 458-8661
2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
4500 Morning Dr
Ste 102
Bakersfield, CA 93306
Phone (661) 437-4140
700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180
1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633
44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
Organizations & group practices 12
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.
-
dba Arunkumar Thunga
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1013662048
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1689317208
-
dba Arizona Anesthesia Solutions
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
AZ, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1043466550
-
dba Pacific Anesthesia
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1497278949
-
- Certified Registered Nurse Anesthetist
- Arroyo Grande, CA
- NPI 1427747104
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1982617452
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1720039977
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Sturgis, MI
- NPI 1891069605
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1467538520
-
dba Good Samaritan Hospital
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1205852209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1659654978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20084 STONE CREEK DR",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465286114",
"telephone_number": "801-518-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 EAST BLVD",
"city": "ELKHART",
"state": "IN",
"postal_code": "465142483",
"telephone_number": "574-523-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "BRANDON",
"middle_name": "KEITH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "87705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkhart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.