Organization Active NPI

BLD Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Melbourne, FL
National Provider Identifier
1740609304
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9300056 Issued in FL
Legal business name
BLD ANESTHESIA SERVICES LLC
Practice address
909 E Melbourne Ave
Melbourne, FL 32901-5578
Phone
(321) 704-2544
Fax
(321) 773-7239
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Bambi Durik, ARNP,CRNA
Title
MGRM
Phone
(321) 704-2544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X ARNP9300056 FL Primary

Addresses

Primary practice location

909 E Melbourne Ave
Melbourne, FL 32901-5578

Mailing address

909 E Melbourne Ave
Melbourne, FL 32901-5578
Phone (321) 704-2544

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1740609304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E MELBOURNE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015578",
            "telephone_number": "321-704-2544",
            "fax_number": "321-773-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E MELBOURNE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015578",
            "telephone_number": "321-704-2544",
            "fax_number": "321-773-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLD ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "DURIK",
        "authorized_official_first_name": "BAMBI",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "321-704-2544",
        "authorized_official_credential": "ARNP,CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9300056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.