Robert M Peden III, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

191894 Issued in NC

Practice address

2817 Reilly St
Fort Bragg, NC 28310-3075

Phone

(910) 907-6000

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rpeden1083028@carolinashealthcaresystem.direct-ci.com

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.

• East Carolina Health - Chowan Inc

  dba ECU Health Chowan Hospital

  • Certified Registered Nurse Anesthetist
  • Edenton, NC
  • NPI 1700864980

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Fayetteville Anesthesia, P.a.

  • Anesthesiology Physician
  • Fayetteville, NC
  • NPI 1144362864
  Medicare reassignment
• Scotland Memorial Hospital Inc

  dba Scotland Memorial Crna Services

  • Certified Registered Nurse Anesthetist
  • Laurinburg, NC
  • NPI 1407840374
  Medicare reassignment
• East Carolina Health - Chowan Inc

  dba Vidant Chowan Hospital

  • Critical Access Hospital
  • Edenton, NC
  • NPI 1467430710
  NPD
• Southeastern Regional Medical Center

  dba Southeastern Urgent Care Lumberton

  • Urgent Care Clinic/Center
  • Lumberton, NC
  • NPI 1063779114
  NPD (past)
• Southeastern Regional Medical Center

  dba SRMC-Audiology

  • Hearing Aid Equipment
  • Lumberton, NC
  • NPI 1871735019
  NPD (past)
• Anesthesia Care Services, PA

  • Certified Registered Nurse Anesthetist
  • Forest, VA
  • NPI 1609833474

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1710985601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 PINE VALLEY LOOP",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055216",
            "telephone_number": "910-964-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 REILLY ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283103075",
            "telephone_number": "910-907-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Lauchwood Dr",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283525599",
            "country_code": "US",
            "telephone_number": "910-291-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEDEN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "191894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8052014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Payne, MS, RD
• Peachtree Vascular Specialists, P.C.
• Evelyn R. Pearce, PA-C
• Seth T Peavler, DO
• Michelle Pecko, PT, DPT
• Brenda Pedraza, PSY.D
• Shermaine Tanette Peeples, MSW, LCSWA
• Aparecio Donnell Peggins, DDS
• Justin John Peglowski, LCSW, LISW
• Timothy Pendergrass, PT, DSC, ATC

• Certified Registered Nurse Anesthetist in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.