Active NPI
Bruce Kevin Kilpatrick, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN 559357
- Practice address
- 3535 E Thompson St
Philadelphia, PA 19134-5423 - Phone
- (850) 559-1064
- NPI assigned
- Oct 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | RN 559357 | PA | Primary |
Addresses
Primary practice location
3535 E Thompson St
Philadelphia, PA 19134-5423
Mailing address
3535 E Thompson St
Philadelphia, PA 19134-5423
Phone (850) 559-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7959 Bustleton Ave
Philadelphia, PA 19152-3320
Phone (215) 742-5662
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 559357 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Philadelphia Anesthesia Services PLLC | Current | Accepting new patients | |
| North American Partners in Anesthesia, Pennsylvania , LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pinnacle Mid-Atlantic Pain Medicine, PC | Past | Accepting new patients |
Locations
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
225 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (833) 728-1368
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
7959 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 742-5662
8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227
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.
-
- Anesthesiology Physician
- Melville, NY
- NPI 1639137854
Nurse Anesthetist, Certified Registered, PA
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1497356034
-
- Interventional Pain Medicine Physician
- Havertown, PA
- NPI 1174799340
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chestnut Hill Hospital - Temple Health
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1437865953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730262551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 E THOMPSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191345423",
"telephone_number": "850-559-1064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 E THOMPSON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191345423",
"telephone_number": "850-559-1064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "BRUCE",
"middle_name": "KEVIN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN 559357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.