Active NPI
Bradley D Benton, CRNA
- Certified Registered Nurse Anesthetist
- Rhinelander, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 131247
- Practice address
- 2251 N Shore Dr
Rhinelander, WI 54501-8360 - Phone
- (715) 361-4700
- NPI assigned
- Nov 14, 2005
- 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 | 131247 | WI | Primary |
Addresses
Primary practice location
2251 N Shore Dr
Rhinelander, WI 54501-8360
Mailing address
2251 N Shore Dr
Rhinelander, WI 54501-8360
Phone (715) 361-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040317001260 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6305736919 | Reassigns benefits to 2 organizations |
| I20080927000192 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6305736919 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Ironwood Hospital and Clinics Inc
Practice addresses (Care Compare)
N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525
N10565 Grandview LN Aspirus Ironwood
Aspirus Palliative Medicine Michi
Ironwood, MI 49938-9622
Phone (715) 843-1067
Hospital & facility affiliations
- Aspirus Ironwood Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131247 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Memorial Medical Center Inc | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Premier Spine Group, S.C. | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500
1615 Maple Ln
Ashland, WI 54806
Phone (715) 682-4563
520 Vincent St
Stevens Point, WI 54481
Phone (715) 544-1774
200 Division St
Ste J
Stevens Point, WI 54481
Phone (715) 544-1774
Organizations & group practices 10
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.
-
- Rural Health Clinic/Center
- Hurley, WI
- NPI 1154434249
-
- Eyewear Supplier
- Ironwood, MI
- NPI 1063670453
-
- Durable Medical Equipment & Medical Supplies
- Ironwood, MI
- NPI 1437262763
-
- Pharmacy
- Ironwood, MI
- NPI 1477243640
-
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
-
- Orthopaedic Surgery of the Spine Physician
- Stevens Point, WI
- NPI 1235962804
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ironwood, MI
- NPI 1609743590
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Hurley, WI
- NPI 1154434249
Hospital
-
- Ophthalmology Physician
- Iron River, MI
- NPI 1073293999
Hospital
-
- Ophthalmology Physician
- Ironwood, MI
- NPI 1609034099
Hospital
-
- Critical Access Hospital
- Ironwood, MI
- NPI 1649297342
Hospital
-
- Family Medicine Physician
- Ironwood, MI
- NPI 1992704753
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1720060064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 N SHORE DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545018360",
"telephone_number": "715-361-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 N SHORE DR",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545018360",
"telephone_number": "715-361-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "BRADLEY",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "131247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.