Bryan Wiederholt, DNAP, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

845062 Issued in NV

Practice address

1800 W. Charleston Blvd.
Las Vegas, NV 89102

Phone

(702) 383-2000

Fax

(702) 383-3620

NPI assigned

Jul 28, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, KS, AZ, NE, UT5 enrollments

Enrollment records 5

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Amin Dunckelmeyer and Luu PLLCGroup PAC ID 4385002682, 48 clinicians

Western Anesthesia Provider Group-Scherr PCGroup PAC ID 6204160385, 9 clinicians

Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians

Premier Anesthesia of Washington, PCGroup PAC ID 1153823083, 37 clinicians

CHI Health Clinic Physician Enterprise-Anesthesia LLCGroup PAC ID 2264794569, 224 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060
• Salina Regional Health Center Hospital, Salina, KS, CCN 170012
• Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwiederholt117216@direct.umcsn.com

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.

• Amin, Dunckelmeyer and Luu PLLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1093410045
  Medicare reassignment Care Compare group NPD
• Western Anesthesia Provider Group-Scherr, P.C.

  • Anesthesiology Physician
  • Elko, NV
  • NPI 1801450572
  Medicare reassignment Care Compare group NPD
• CHI Health Clinic Physician Enterprise-Anesthesia LLC

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1356858419

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Medicare reassignment Care Compare group NPD
• Premier Anesthesia of Washington, PC

  • Anesthesiology Physician
  • Salina, KS
  • NPI 1194617043

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Red Rock Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1235660002
  Medicare reassignment NPD
• Valley Anesthesiology Consultants-Beckett-PLLC

  • Anesthesiology Physician
  • Henderson, NV
  • NPI 1437326857
  Medicare reassignment NPD
• Battle Born Anesthesia Associates LTD

  • Anesthesiology Physician
  • Kingman, AZ
  • NPI 1629781455
  Medicare reassignment NPD
• Hays Medical Center, Inc.

  • Interventional Cardiology Physician
  • Hays, KS
  • NPI 1770618258
  Medicare reassignment NPD
• Mt Ogden Anesthesia Group LLC

  • Certified Registered Nurse Anesthetist
  • Ogden, UT
  • NPI 1770999807
  Medicare reassignment
• Hays Medical Center, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Hays, KS
  • NPI 1073306221
  NPD
• Hays Medical Center, Inc.

  • Internal Medicine Physician
  • Hays, KS
  • NPI 1871567479
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PHC-Elko Inc

  • Rural Acute Care Hospital
  • Elko, NV
  • NPI 1770674350
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1508941097
  Care Compare affiliation
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  Care Compare affiliation

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1740953488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-383-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W. CHARLESTON BLVD.",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-383-2000",
            "fax_number": "702-383-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDERHOLT",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DNAP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "845062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shindena Widby
• Dana S Widdison, M.S.N, A.P.N., C.N.M
• Marcella Wideman
• Anastasia Elisabeth Wied
• Micah Wiedemann
• Sarah Wiederholt, LMSW
• Allison Wiegand, RN
• Ellis Wiegand
• Monika Wiegers
• John Wiejkuc

• Certified Registered Nurse Anesthetist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Certified Registered Nurse Anesthetist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.