Individual provider Active NPI

Brad M Ryder, CRNA

  • Certified Registered Nurse Anesthetist
  • Opelousas, LA
National Provider Identifier
1790961779
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN097327 Issued in LA
Practice address
539 E Prudhomme St
Opelousas, LA 70570-6499
Phone
(337) 943-7128
NPI assigned
Jan 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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 RN097327 LA Primary

Addresses

Primary practice location

539 E Prudhomme St
Opelousas, LA 70570-6499

Mailing address

PO Box 459
Opelousas, LA 70571-0459
Phone (337) 943-7128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080205000060 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062594617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians
Opelousas General Health System Physician PracticesGroup PAC ID 9830340694, 62 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7374

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-2949

3975 I-49 S Services Rd
Suite 200
Opelousas, LA 70570-0775
Phone (337) 594-3980

4212 W Congress St
Lafayette, LA 70506-6765

539 E Prudhomme St
Opelousas, LA 70570-6499

Hospital & facility affiliations

  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1767LAMDRehabilitation Chiropractor
RN097327LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc. CurrentSince Apr 1, 2021 Accepting new patients
Opelousas General Health System CurrentSince Apr 1, 2025 Accepting new patients
Opelousas General Health System CurrentSince Apr 1, 2025 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Opelousas General Health System Physician Practices Current Accepting new patients
Lafayette Health Ventures Inc CurrentSince Apr 1, 2021 Accepting new patients
Interventional Pain Specialists, LLC PastSince Apr 13, 2025 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients
Opelousas General Health System Physician Practices Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

3935 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 594-6002

3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512

3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750

3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

Organizations & group practices 9

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.

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1790961779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705710459",
            "telephone_number": "337-943-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706499",
            "telephone_number": "337-943-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "BRAD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN097327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.