Wendy Bradford, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R784353 Issued in MS

Practice address

1026 N Flowood Dr
Flowood, MS 39232-9532

Phone

(601) 932-1000

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lakeland Anesthesia, PLLC

  • Certified Registered Nurse Anesthetist
  • Flowood, MS
  • NPI 1053358937

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Surgical Anesthesia Associates, PA

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1346287281

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811089444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321360",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321360",
            "telephone_number": "601-936-0681",
            "fax_number": "601-936-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329532",
            "telephone_number": "601-932-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "WENDY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R784353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00297218",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118898",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drew Ryan Boudreaux, PHARMD
• Angela Dawn Boyd, NP-C
• Stewart Alexander Boyd, M.D.
• Krista L. Boyette, M.D.
• Krystel Braddy-Brown, D.D.S.
• Diane Lynne Braman, LCSW
• Kelsey Caballero Brand
• Donald P Brannan, M.D.
• Tonya R Branning, FNPC
• Shelby K Brantley, M.D.

• Certified Registered Nurse Anesthetist in Flowood, MS
• Providers in Flowood, MS by specialty
• Certified Registered Nurse Anesthetist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.