Brady N Blazek, CRNA, DNP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D116604 Issued in IA

Practice address

17893 224TH St
Manchester, IA 52057-8629

Phone

(563) 920-0200

NPI assigned

Feb 21, 2013

Last updated

Jul 10, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Iowa, RJ & L Carver College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Iowa PLCGroup PAC ID 3476443524, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pella Regional Health Center Hospital, Pella, IA, CCN 161367

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.

• Anesthesia Iowa PLC

  • Anesthesiology Physician
  • Pella, IA
  • NPI 1114018983
  Medicare reassignment Care Compare group NPD
• Delaware County Memorial Hospital

  dba Backbone Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  • Rural Health Clinic/Center
  • Manchester, IA
  • NPI 1528209483
  NPD
• Delaware County Memorial Hospital

  dba Regional Family Health Dyersville

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  NPD

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

• Pella Regional Health Center

  • Critical Access Hospital
  • Pella, IA
  • NPI 1578520888
  Care Compare affiliation

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1780924118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17893 224TH ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520578629",
            "telephone_number": "563-920-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17893 224TH ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520578629",
            "telephone_number": "563-920-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZEK",
        "first_name": "BRADY",
        "middle_name": "N",
        "credential": "CRNA, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-21",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D116604",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "116604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Wound & Wellness PLLC
• Ashley Anne Barry, FNP-BC
• Mark Richard Bennett Jr.
• Allison Rae Berns, PA-C
• Beyond Speech Therapy LLC
• Emily J Boge I, RDH BS MPA
• Ralph Ried Boom, M.D.
• Danielle Sue Boone, PHARMD
• Brehme Drug Inc (Brehme Drug)
• Brehme Drug Inc (Blakesly Drug)

• Certified Registered Nurse Anesthetist in Manchester, IA
• Providers in Manchester, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.