Individual provider Active NPI

Brandon Heath Milstead, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Athens, TX
National Provider Identifier
1730130444
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
616942 Issued in TX
Practice address
510 E Clinton Ave
Athens, TX 75751-3410
Phone
(903) 677-1000
Fax
(903) 677-5586
NPI assigned
May 15, 2006
Last updated
Mar 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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 499237 NY
Certified Registered Nurse Anesthetist 367500000X 616942 TX Primary

Addresses

Primary practice location

510 E Clinton Ave
Athens, TX 75751-3410

Mailing address

PO Box 2127
Athens, TX 75751-7127
Phone (903) 677-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090124000086 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143384842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deep East Texas AnesthesiaGroup PAC ID 3971906587, 4 clinicians

Practice addresses (Care Compare)

4948 NE Stallings Dr
Nacogdoches, TX 75965-1265
Phone (936) 568-3595

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
499237NYMDCertified Registered Nurse Anesthetist
616942TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Deep East Texas Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Anderson County Anesthesia Associates, PA Past Accepting new patients

Locations

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

4948 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 305-9212

638 N University Dr
Ste A
Nacogdoches, TX 75961

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1730130444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757517127",
            "telephone_number": "903-677-1000",
            "fax_number": "903-677-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CLINTON AVE",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757513410",
            "telephone_number": "903-677-1000",
            "fax_number": "903-677-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILSTEAD",
        "first_name": "BRANDON",
        "middle_name": "HEATH",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "499237",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "616942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.