Active NPI
James J Bradley, CRNA
- Certified Registered Nurse Anesthetist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 38977
- Practice address
- 5516 Mountain Garland Dr
Colorado Springs, CO 80923 - Phone
- (830) 776-6495
- NPI assigned
- Feb 10, 2006
- Last updated
- Jun 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 38977 | MT | Primary |
Addresses
Primary practice location
5516 Mountain Garland Dr
Colorado Springs, CO 80923
Mailing address
33990 Canyon Mill Rd
Ronan, MT 59864-9160
Phone (406) 676-0216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 918517046 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38977 | MT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butte Pain and Anesthesia Associates, PLLC | Past | Accepting new patients | |
| Dubuque Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Dubuque Anesthesia Services, PC | Past | Accepting new patients | |
| Novamed Surgery Center of Denver LLC | Past | Accepting new patients | |
| Specialists in Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Novamed Surgery Center of Colorado Springs, LLC | Past | Accepting new patients |
Organizations & group practices 6
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.
-
dba Premier Surgery Center
- Ambulatory Surgical Clinic/Center
- Colorado Springs, CO
- NPI 1750386322
-
dba Cherry Hills Surgery Center
- Ambulatory Surgical Clinic/Center
- Englewood, CO
- NPI 1508862624
-
- Anesthesiology Physician
- Butte, MT
- NPI 1205869468
-
dba Same as Above
- Certified Registered Nurse Anesthetist
- Dubuque, IA
- NPI 1356455257
Nurse Anesthetist, Certified Registered
-
dba Same as Above
- Anesthesiology Physician
- Dubuque, IA
- NPI 1396756417
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1689619280
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1770556441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33990 CANYON MILL RD",
"city": "RONAN",
"state": "MT",
"postal_code": "598649160",
"telephone_number": "406-676-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5516 MOUNTAIN GARLAND DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80923",
"telephone_number": "830-776-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "JAMES",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MT",
"license": "38977",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "918517046",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.