Individual provider Active NPI

Brent Steven Roberson, CRNA

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1811292394
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP06385 Issued in LA
Practice address
7777 Hennessy Blvd Ste 709
Baton Rouge, LA 70808
Phone
(985) 232-8122
NPI assigned
Jan 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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 AP06385 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd Ste 709
Baton Rouge, LA 70808

Mailing address

11101 Reiger Rd Apt 515
Baton Rouge, LA 70809-0400
Phone (985) 232-8122

Other identifiers 2

IdentifierTypeStateIssuer
2146289MedicaidLA
P01813271OtherLARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000771 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325223860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Practice addresses (Care Compare)

694 Belle Terre Blvd
La Place, LA 70068-1620
Phone (985) 359-6694

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06385LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2019 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 14, 2021 Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1234 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 200-1213

4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700

191 Innovation Ct
Ste A
Gray, LA 70359
Phone (985) 303-4050

42107 Veterans Ave
Hammond, LA 70403
Phone (504) 419-1884

3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

2520 Harvard Ave
Ste 2A
Metairie, LA 70001
Phone (504) 378-3668

4324 Veterans Memorial Blvd
Ste 102
Metairie, LA 70006

3717 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 456-1515

3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600

604 N Acadia Rd
Ste 300
Thibodaux, LA 70301
Phone (985) 438-1088

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1811292394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 REIGER RD APT 515",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708090400",
            "telephone_number": "985-232-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 709",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "985-232-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "BRENT",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-14",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP06385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2146289",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01813271",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.