Brad Dershem, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

654839 Issued in NY

Practice address

540 Massachusetts Ave
Apt 1
Boston, MA 02118-1402

Phone

(773) 288-9440

NPI assigned

Sep 11, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pratt Anesthesiology Associates IncGroup PAC ID 0547151151, 153 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070
• Tufts Medical Center Hospital, Boston, MA, CCN 220116

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: bdershem117201@direct.challiance.masshiway.net

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.

• Pratt Anesthesiology Associates, Inc

  • Anesthesiology Physician
  • Boston, MA
  • NPI 1326085390
  Medicare reassignment Care Compare group
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Diagnostic Radiology Physician
  • Milton, MA
  • NPI 1245773308
  Medicare reassignment NPD
• Lawrence Anesthesia Services, LLC

  • Anesthesiology Physician
  • Lawrence, MA
  • NPI 1467699918

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North American Partners in Anesthesia Massachusetts LLC

  • Anesthesiology Physician
  • Fall River, MA
  • NPI 1457867020

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Anesthesiology Physician
  • Plymouth, MA
  • NPI 1568859643
  NPD
• Associated Physicians of Harvard Medical Faculty Physicians at Beth Is

  • Multi-Specialty Clinic/Center
  • Boston, MA
  • NPI 1861216038
  NPD
• Cambridge Public Health Commission

  • General Acute Care Hospital
  • Cambridge, MA
  • NPI 1487603585
  NPD
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD
• Park Slope Anesthesia Associates PC

  • Anesthesiology Physician
  • Brooklyn, NY
  • NPI 1760468698
  NPD
• Laboratory Corportation of America Holdings

  • Clinical Medical Laboratory
  • Clinton, IN
  • NPI 1194140293
  NPD (past)
• Racine Anesthesia Services, LLC

  • Anesthesiology Physician
  • Mount Pleasant, WI
  • NPI 1467782748

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Springfield Hospital Inc

  • Anesthesiology Physician
  • Springfield, VT
  • NPI 1780657783

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467
  Care Compare affiliation
• Tufts Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515
  Care Compare affiliation

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1801146451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 COLUMBUS AVE",
            "address_2": "PMB79",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021166008",
            "telephone_number": "773-288-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MASSACHUSETTS AVE",
            "address_2": "APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181402",
            "telephone_number": "773-288-9440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Cambridge St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "02135",
            "country_code": "US",
            "telephone_number": "617-789-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERSHEM",
        "first_name": "BRAD",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-11",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "654839",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "192547-30",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2283514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Alice Derosier
• Genevieve Derr, LMHC
• Hannah Morgan Derreth, ATC
• Demitria Marie Derrico
• Kendra Derry, MD
• Lori Bowe Dershowitz
• Caitriona Dervay, NP
• Ajinkya Shrinivas Desai, MBBS
• Akshay Suvas Desai, MD
• Amar Desai, M.D.

• Certified Registered Nurse Anesthetist in Boston, MA
• Providers in Boston, MA by specialty
• Certified Registered Nurse Anesthetist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.