Individual provider Active NPI

Bronwyn Elizabeth Daugherty, CRNA

  • Certified Registered Nurse Anesthetist
  • La Plata, MD
National Provider Identifier
1760535397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R100470 Issued in MD
Practice address
701 Charles St
La Plata, MD 20646-5930
Phone
(301) 609-4000
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R100470 MD Primary

Addresses

Primary practice location

701 Charles St
La Plata, MD 20646-5930

Mailing address

21845 Placentia Farm LN
Leonardtown, MD 20650-4118
Phone (301) 475-2408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050415000681 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486691888 Reassigns benefits to 5 organizations
I20200205000029 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4486691888 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Maryland LLCGroup PAC ID 4284085796, 28 clinicians

Practice addresses (Care Compare)

5 Garrett Ave
La Plata, MD 20646-5960
Phone (301) 609-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
81.01
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R100470MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Anesthesia & Pain Management Services, P.C. Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2019 Accepting new patients
Anesthesia Solutions, LLC CurrentSince Jun 1, 2020 Accepting new patients
Maryland Anesthesia & Pain Management Services, PC Nurse Anesthetist, Certified Registered CurrentSince Nov 13, 2019 Accepting new patients
Georgetown Pain Management LLC CurrentSince Jun 29, 2020 Accepting new patients
Northstar Anesthesia of Maryland LLC CurrentSince Oct 1, 2023 Accepting new patients
Pain Management Associates, LLC CurrentSince Jun 29, 2020 Accepting new patients
Comfort Sedation LLC CurrentSince Dec 20, 2019 Accepting new patients
Mid-Maryland Anesthesia LLC CurrentSince Nov 1, 2019 Accepting new patients
Capital Care Anesthesia LLC CurrentSince Feb 1, 2020 Accepting new patients
Montgomery Anesthesia Care, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 22, 2019 Accepting new patients
Maryland Anesthesia & Pain Management Services, P.C. Nurse Anesthetist, Certified Registered Current Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC Past Accepting new patients
Capital Care Anesthesia LLC Past Accepting new patients

Locations

1 University Ave
Ste 104
Westwood, MA 02090

116 Defense Hwy
Ste 403
Annapolis, MD 21401
Phone (410) 671-2941

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

14999 Health Center Dr
Ste 103
Bowie, MD 20716
Phone (301) 262-5511

85 Thomas Johnson Ct
Ste C
Frederick, MD 21702
Phone (301) 663-9440

7300 Hanover Dr
Ste 204
Greenbelt, MD 20770
Phone (240) 297-9016

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

5 N La Plata Ct
Ste 201
La Plata, MD 20646
Phone (301) 609-4000

10110 Molecular Dr
Ste 100
Rockville, MD 20850
Phone (301) 838-0437

15005 Shady Grove Rd
Ste 200
Rockville, MD 20850
Phone (301) 340-8099

19 Fontana Ln
Ste 104
Rosedale, MD 21237
Phone (410) 574-7776

120 Sallitt Dr
#D
Stevensville, MD 21666
Phone (410) 923-2714

Interoperability endpoints

  • Direct secure messaging: bdaugherty652439@direct.umm.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760535397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21845 PLACENTIA FARM LN",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206504118",
            "telephone_number": "301-475-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CHARLES ST",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206465930",
            "telephone_number": "301-609-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "BRONWYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R100470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • 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.