NPIMap

Organization Active NPI

Synapse Anesthesia Services PLLC

  • Anesthesiologist Assistant
  • Hurst, TX
National Provider Identifier
1710652789
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
Legal business name
SYNAPSE ANESTHESIA SERVICES PLLC
Practice address
781 Lonesome Dove TRL Ste a
Hurst, TX 76054-6018
Phone
(817) 479-7280
Fax
(817) 479-8283
NPI assigned
Aug 12, 2021
Last updated
Feb 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Authorized official

Name
Brandon Brock, CRNANPI 1225209240
Title
Owner
Phone
(817) 479-6158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X NU Primary

Addresses

Primary practice location

781 Lonesome Dove TRL Ste a
Hurst, TX 76054-6018

Mailing address

781 Lonesome Dove TRL Ste a
Hurst, TX 76054-6018
Phone (817) 479-7280

Other identifiers 1

IdentifierTypeStateIssuer
1234OtherTXANESTHESIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL office Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210914002755 TX Part B Supplier - Clinic/Group Practice 6507262607 Receives reassigned benefits from 29 practitioners
Practice locations: Grapevine, TX; Hurst, TX

National Provider Directory

National Provider Directory

Locations

781 Lonesome Dove Trl
Ste A
Hurst, TX 76054
Phone (817) 479-7280

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1710652789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 LONESOME DOVE TRL STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546018",
            "telephone_number": "817-479-7280",
            "fax_number": "817-479-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 LONESOME DOVE TRL STE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760546018",
            "telephone_number": "817-479-7280",
            "fax_number": "817-479-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNAPSE ANESTHESIA SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-479-6158",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTHESIA",
            "identifier": "1234",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "office",
            "affiliation": "N",
            "endpointDescription": "hurst",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "781 Lonesome Dove Trl Ste A",
            "city": "Hurst",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760546018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.