Individual provider Active NPI

Bradley August Herms, CRNA

  • Certified Registered Nurse Anesthetist
  • Palm City, FL
National Provider Identifier
1689975146
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704248325 Issued in MI
Practice address
4932 SW Bimini Cir N
Palm City, FL 34990-1232
Phone
(440) 465-6733
NPI assigned
Nov 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 11016458 FL
Certified Registered Nurse Anesthetist 367500000X 4704248325 MI Primary

Addresses

Primary practice location

4932 SW Bimini Cir N
Palm City, FL 34990-1232

Mailing address

4932 SW Bimini Cir N
Palm City, FL 34990-1232
Phone (440) 465-6733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220425001071 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224227780 Reassigns benefits to 2 organizations

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
Fpra Anesthesia Services LLCGroup PAC ID 0547554099, 10 clinicians
Treasure Coast Anesthesia Group PAGroup PAC ID 2567600588, 98 clinicians

Practice addresses (Care Compare)

1693 Lee Rd
Suite a
Winter Park, FL 32789-2260
Phone (407) 287-4300

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11016458FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Herms Anesthesia Staffing, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 3, 2022 Accepting new patients
Fpra Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Treasure Coast Anesthesia Group PA Nurse Anesthetist, Certified Registered CurrentSince Jun 16, 2022 Accepting new patients
National Surgical Centers of America LLC PastSince Jul 1, 2022 Accepting new patients
Waterford Surgical Center, LLC Past Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients
National Surgical Centers of America LLC Past Accepting new patients

Locations

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

150 SW Chamber Ct
Ste 104
Port St Lucie, FL 34986
Phone (772) 879-5300

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 8

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 1

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": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1689975146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4932 SW BIMINI CIR N",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901232",
            "telephone_number": "440-465-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4932 SW BIMINI CIR N",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349901232",
            "telephone_number": "440-465-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMS",
        "first_name": "BRADLEY",
        "middle_name": "AUGUST",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11016458",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704248325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.