Individual provider Active NPI

Bradley Allen Pitts, CRNA

  • Certified Registered Nurse Anesthetist
  • Benton, AR
National Provider Identifier
1679831614
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CTP-00198 Issued in AR
Practice address
1 Medical Park Dr
Benton, AR 72015-3353
Phone
(501) 776-6093
NPI assigned
Apr 27, 2012
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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 CTP-00198 AR Primary

Addresses

Primary practice location

1 Medical Park Dr
Benton, AR 72015-3353

Mailing address

1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 776-6093

Other practice location 1

10915 N Rodney Parham Rd Ste F
Little Rock, AR 72212-4202
Phone (501) 686-6324

Other practice location 2

4301 W Markham St # 722
Little Rock, AR 72205-7101
Phone (501) 526-3233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120620000797 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113181231 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Surgical Hospital LLCGroup PAC ID 5496793390, shared by 3 NPIs, 44 clinicians

Practice addresses (Care Compare)

5201 Northshore Dr
Suite 300
North Little Rock, AR 72118-5312
Phone (501) 748-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CTP-00198ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jul 20, 2023 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 23, 2023 Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Orthoarkansas, PA CurrentSince May 24, 2023 Accepting new patients
ASC Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2021 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Arkansas Surgical Hospital, LLC CurrentSince Jan 1, 2022 Accepting new patients
Arkansas Surgical Hospital, LLC Current Accepting new patients
Arkansas Anesthesia Associates, PLLC. CurrentSince May 1, 2012 Accepting new patients
Premier Gastroenterology Associates PLLC CurrentSince Jun 15, 2023 Accepting new patients
University of Arkansas for Medical Sciences Current Accepting new patients
Anesthesia and Pain Management Assoc., P.a. CurrentSince Jun 10, 2013 Accepting new patients
Nurse Anesthetist Professionals Inc CurrentSince Aug 1, 2017 Accepting new patients
Little Rock Diagnostic Clinic PA Current Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 20, 2023 Accepting new patients
BP Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2017 Accepting new patients
Orthoarkansas, PA CurrentSince May 24, 2023 Accepting new patients

Locations

1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000

353 Cash Rd SW
Camden, AR 71701
Phone (870) 836-8101

3320 Central Ave
Hot Springs, AR 71913
Phone (501) 321-0560

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

10001 Lile Dr
Little Rock, AR 72205
Phone (501) 227-8000

10001 Lile Dr
Ste 200
Little Rock, AR 72205
Phone (501) 227-8000

10301 Kanis Rd
Little Rock, AR 72205
Phone (501) 604-4151

10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828

10915 N Rodney Parham Rd
Ste F
Little Rock, AR 72212
Phone (501) 686-6324

14918 Cantrell Rd
Little Rock, AR 72223
Phone (501) 663-4747

212 Natural Resources Dr
Little Rock, AR 72205
Phone (501) 664-7200

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
#722
Little Rock, AR 72205
Phone (501) 523-3233

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

6119 Midtown Ave
Ste 101
Little Rock, AR 72205
Phone (501) 404-8007

800 Fair Park Blvd
Little Rock, AR 72204
Phone (501) 404-8007

5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000

5201 Northshore Dr
Ste 300
North Little Rock, AR 72118
Phone (501) 748-8000

4800 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-5533

151 E Aspen Ln
Russellville, AR 72802
Phone (479) 967-1117

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1679831614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10915 N Rodney Parham Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722124202",
            "country_code": "US",
            "telephone_number": "501-686-6324",
            "fax_number": "501-603-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4301 W Markham St # 722",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-526-3233",
            "fax_number": "501-603-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTS",
        "first_name": "BRADLEY",
        "middle_name": "ALLEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CTP-00198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.