Individual provider Active NPI

Bruce Allen Herr Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Washington, DC
National Provider Identifier
1760469415
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN1004845 Issued in DC
Practice address
4200 Wisconsin Ave NW
Ste 106-152
Washington, DC 20016-2143
Phone
(202) 963-1703
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704221887 MI
Certified Registered Nurse Anesthetist 367500000X R235618 MD
Certified Registered Nurse Anesthetist 367500000X 0024182902 VA
Certified Registered Nurse Anesthetist 367500000X RN1004845 DC Primary

Addresses

Primary practice location

4200 Wisconsin Ave NW
Ste 106-152
Washington, DC 20016-2143

Mailing address

4200 Wisconsin Ave NW
Ste 106-152
Washington, DC 20016-2143
Phone (734) 735-5761

Other practice location 1

110 Irving St NW
Room G-226
Washington, DC 20010-3017
Phone (202) 877-7500

Other identifiers 4

IdentifierTypeStateIssuer
002408200MedicaidMD
05757900MedicaidDC
104682778MedicaidMI
BH221887OtherMIBLUE CROSS OF MI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050131000638 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597715862 Reassigns benefits to 3 organizations
I20240730004000 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597715862 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
MJM Anesthesia LLCGroup PAC ID 4789952615, 3 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

700 Constitution Ave NE
Washington, DC 20002-6599
Phone (301) 317-0020

7945 Macarthur Blvd
Cabin John, MD 20818-1634
Phone (202) 964-1161

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN1004845DCMDCertified Registered Nurse Anesthetist
0024182902VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc CurrentSince May 9, 2025 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jun 1, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2024 Accepting new patients
MJM Anesthesia ,LLC CurrentSince Jul 24, 2018 Accepting new patients
Medstar Medical Group Anesthesiology LLC CurrentSince Jun 1, 2018 Accepting new patients
WHC Physician Group LLC Past Accepting new patients
Washington Hospital Center Corp Past Accepting new patients

Locations

223 7th St NE
Washington, DC 20002
Phone (202) 543-4800

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

4601 Martin Luther King Jr Ave SW
Washington, DC 20032
Phone (202) 373-5840

110 Irving St NW
Rm G226
Washington, DC 20010
Phone (202) 877-7500

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

2629 Riva Rd
Annapolis, MD 21401
Phone (301) 651-7448

7945 MacArthur Blvd
Cabin John, MD 20818
Phone (202) 964-1161

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

10810 Darnestown Rd
Ste 101
Gaithersburg, MD 20878
Phone (202) 964-1160

7525 Greenway Center Dr
Ste 112
Greenbelt, MD 20770
Phone (301) 345-4087

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

6505 Belcrest Rd
Ste 1
Hyattsville, MD 20782
Phone (202) 964-1160

7350 Van Dusen Rd
Ste 310
Laurel, MD 20707
Phone (202) 964-1160

4302 Saint Barnabas Rd
Temple Hills, MD 20748
Phone (301) 423-9494

10313 Georgia Ave
Ste 201
Wheaton, MD 20902
Phone (202) 964-1160

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1760469415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW",
            "address_2": "STE 106-152",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "734-735-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WISCONSIN AVE NW",
            "address_2": "STE 106-152",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162143",
            "telephone_number": "202-963-1703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Irving St NW",
            "address_2": "Room G-226",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200103017",
            "country_code": "US",
            "telephone_number": "202-877-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERR",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704221887",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R235618",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024182902",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN1004845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002408200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05757900",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104682778",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MI",
            "identifier": "BH221887",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.