Brian L Brant, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Hancock, MI
NPI 1790729762 · NPPES record last updated Feb 7, 2017
Key facts
- NPI
- 1790729762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704197904 (MI)
- Practice address
- 500 Campus Dr
Hancock, MI 49930-1452 - Phone
- (906) 483-1000
- Fax
- (906) 483-1122
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hospitalist Medicine Physicians of Michigan-Alpena PLLC
Practice addresses (Care Compare)
3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707
Hospital & facility affiliations
- Osf St Francis Hospital and Medical Group
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110222000785 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7113818261 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704197904 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Michigan-Alpena PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311
1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704197904 | MI | Yes |
Addresses
Primary practice location
500 Campus Dr
Hancock, MI 49930-1452
Mailing address
500 Campus Dr
Hancock, MI 49930-1452
Phone (906) 483-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 429769910 | Medicaid | MI |
Other providers in Hancock, MI
- Samantha Lucchesi Boatman
- Andrea Kay Bouman
- Jennifer Katherine Bow
- John Michael Bowman
- Austin Bramwell
- Kayrissa Leigh Brewster
- Whitney J Brey
- Pamela Brown
- Jonathan N Brueggeman
- Megan M Brueggeman
All providers in Hancock, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.