Clark Brinton, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

N-26699 Issued in ID

Practice address

520 S Eagle Rd
Suite 3104
Meridian, ID 83642-6308

Phone

(208) 373-1200

NPI assigned

Jul 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 ID

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brinton Anesthesia Group PLLCGroup PAC ID 5496999294, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Brinton Anesthesia Group PLLC

  • Certified Registered Nurse Anesthetist
  • Meridian, ID
  • NPI 1225473069

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Overton-Stiff Professional Anesthesia Service LTD

  • Certified Registered Nurse Anesthetist
  • Boise, ID
  • NPI 1417065152

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750315792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2203",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834032203",
            "telephone_number": "208-525-2090",
            "fax_number": "208-525-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S EAGLE RD",
            "address_2": "SUITE 3104",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426308",
            "telephone_number": "208-373-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINTON",
        "first_name": "CLARK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ID",
            "license": "N-26699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Kay Brill
• Wesley B Brimhall, DMD
• Michael Brinker, PSYD
• McKenna Anne Brinkman
• Brinton Anesthesia Group PLLC
• Carly Broadhead, MA, NCC, LPC
• Megan Lee Brock, PMNHP
• Lisa M Brokaw, LPC, NCC
• Aimee' Marie Brooks, ACNP
• Ari Tarah Ewell Brooks, LCSW

• Certified Registered Nurse Anesthetist in Meridian, ID
• Providers in Meridian, ID by specialty
• Certified Registered Nurse Anesthetist in Idaho

• 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.

Verify at the official NPI Registry.