Individual provider Active NPI

Bradley G Gammill, CRNA

  • Certified Registered Nurse Anesthetist
  • Richmond, KY
National Provider Identifier
1740361815
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1090024 Issued in KY
Practice address
Pattie a Clay Hospital
801 Eastern Bypass
Richmond, KY 40475
Phone
(859) 624-1879
Fax
(859) 625-3171
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1090024 KY Primary

Addresses

Primary practice location

Pattie a Clay Hospital
801 Eastern Bypass
Richmond, KY 40475

Mailing address

795 Eastern Byp
Building 2, Suite 6
Richmond, KY 40475-2406
Phone (859) 624-1879

Other identifiers 1

IdentifierTypeStateIssuer
74002239MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1090024KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Valley Surgical Center, LLC Past Accepting new patients
Baptist Healthcare System, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Collier Anesthesia PA Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740361815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 EASTERN BYP",
            "address_2": "BUILDING 2, SUITE 6",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752406",
            "telephone_number": "859-624-1879",
            "fax_number": "859-625-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PATTIE A CLAY HOSPITAL",
            "address_2": "801 EASTERN BYPASS",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475",
            "telephone_number": "859-624-1879",
            "fax_number": "859-625-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMILL",
        "first_name": "BRADLEY",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1090024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74002239",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.