Active NPI
Gregory Brannan, CRNA
- Certified Registered Nurse Anesthetist
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 54363
- Practice address
- 929 N Saint Francis St
Wichita, KS 67214-3821 - Phone
- (800) 374-5326
- Fax
- (800) 374-7656
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 54363 | KS | Primary |
Addresses
Primary practice location
929 N Saint Francis St
Wichita, KS 67214-3821
Mailing address
PO Box 2897
Wichita, KS 67201-2897
Phone (800) 374-5326
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043248 | Other | KS | BCBS |
| 100247990B | Medicaid | KS | |
| 430042613 | Other | RR MEDICARE GROUP CQ2302 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 74.54
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Spine Anesthesia Corporation PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Wichita Ambulatory Anesthesia Providers LLC | Current | Accepting new patients |
Locations
9050 E 29th St N
Wichita, KS 67226
Phone (316) 722-6260
8200 W Central Ave
Ste 3
Wichita, KS 67212
Phone (316) 491-6300
818 N Emporia St
Ste 108
Wichita, KS 67214
Phone 31626244674296
3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Wichita, KS
- NPI 1720345911
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1649754789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1760436380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2897",
"city": "WICHITA",
"state": "KS",
"postal_code": "672012897",
"telephone_number": "800-374-5326",
"fax_number": "800-374-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N SAINT FRANCIS ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672143821",
"telephone_number": "800-374-5326",
"fax_number": "800-374-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNAN",
"first_name": "GREGORY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "54363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "043248",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100247990B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP CQ2302",
"identifier": "430042613",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.