Active NPI
Brandon Philip Durbin, CRNA
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28264150A
- Practice address
- 7150 Clearvista Dr
Indianapolis, IN 46256-1695 - Phone
- (317) 621-5890
- NPI assigned
- Feb 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209009401 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 28264150A | IN | Primary |
Addresses
Primary practice location
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547
Other practice location 1
701 N 1st St
Anesthesia Dept
Springfield, IL 62781-0001
Phone (217) 788-3755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30046762 | Medicaid | IN | |
| 87879 | Other | IL | AANA NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Southern Illinois University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Doctors Park
Gibson City, IL 60936-2000
Phone (217) 784-4297
1120 N Melvin St
Gibson City, IL 60936-1477
3 Doctors Park
Gibson City, IL 60936-2000
Phone (217) 784-4030
4 Doctors Park
Gibson City, IL 60936-2000
Phone (217) 784-4251
7 Doctors Park
Gibson City, IL 60936-2000
Phone (217) 784-5500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Current | Accepting new patients | |
| American Anesthesiology Associates of Illinois, S.C. | Current | Accepting new patients | |
| Gibson Community Hospital Association | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
5819 Reliable Pkwy
Chicago, IL 60686
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041
Interoperability endpoints
- bdurbin453573@ecommunitydirect.com
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Community/Retail Pharmacy
- Gibson City, IL
- NPI 1245105535
Hospital & facility affiliations 23
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Watseka, IL
- NPI 1043720691
Hospital
-
- Rural Health Clinic/Center
- Forrest, IL
- NPI 1063462976
Hospital
-
- Pulmonary Disease Physician
- Gibson City, IL
- NPI 1114507753
Hospital
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Cardiovascular Disease Physician
- Gibson City, IL
- NPI 1134540750
Hospital
-
- Rural Health Clinic/Center
- Gibson City, IL
- NPI 1154702181
Hospital
-
- Rheumatology Physician
- Gibson City, IL
- NPI 1174262968
Hospital
-
- Medical Oncology Physician
- Gibson City, IL
- NPI 1245979020
Hospital
-
- Rural Health Clinic/Center
- Cissna Park, IL
- NPI 1356884993
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1790059632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 CLEARVISTA DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561695",
"telephone_number": "317-621-5890"
}
],
"practiceLocations": [
{
"address_1": "701 N 1st St",
"address_2": "Anesthesia Dept",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627810001",
"country_code": "US",
"telephone_number": "217-788-3755",
"fax_number": "217-788-7071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURBIN",
"first_name": "BRANDON",
"middle_name": "PHILIP",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-23",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209009401",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28264150A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30046762",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA NUMBER",
"identifier": "87879",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.