Individual provider Active NPI

Bentley Lolley

  • Certified Registered Nurse Anesthetist
  • Mobile, AL
National Provider Identifier
1811432941
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-135855 Issued in AL
Practice address
51 Tacon St
Suite D
Mobile, AL 36607-3123
Phone
(251) 341-2879
Fax
(251) 316-3050
NPI assigned
Dec 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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 1-135855 AL Primary

Addresses

Primary practice location

51 Tacon St
Suite D
Mobile, AL 36607-3123

Mailing address

5 Mobile Infirmary Cir
Mobile
Mobile, AL 36607-3513
Phone (251) 435-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY, NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170329000200 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446535702 Reassigns benefits to 3 organizations
I20190116004050 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446535702 Reassigns benefits to 1 organization
I20250501003083 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 0446535702 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-135855ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Mar 29, 2025 Accepting new patients
Coastal Anesthesia, P.C. CurrentSince May 1, 2020 Accepting new patients
Newark Wayne Community Hospital CurrentSince Mar 29, 2025 Accepting new patients
USA Health Anesthesia Billing Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Mar 29, 2025 Accepting new patients
United Memorial Medical Center CurrentSince Mar 29, 2025 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2018 Accepting new patients
Rochester General Hospital CurrentSince Mar 29, 2025 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2018 Accepting new patients
Newark Wayne Community Hospital CurrentSince Mar 29, 2025 Accepting new patients
United Memorial Medical Center CurrentSince Mar 29, 2025 Accepting new patients
Anesthesiologists Associated PC CurrentSince May 1, 2018 Accepting new patients
University of South Alabama Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Mar 29, 2025 Accepting new patients

Locations

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

3610 Springhill Memorial Dr N
Mobile, AL 36608
Phone (251) 344-9630

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

3610 Springhill Memorial Dr N
#D
Mobile, AL 36608
Phone (251) 342-3000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

127 North St
Batavia, NY 14020
Phone (585) 267-7510

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 17

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.

View all 17

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1811432941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR",
            "address_2": "MOBILE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 TACON ST",
            "address_2": "SUITE D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073123",
            "telephone_number": "251-341-2879",
            "fax_number": "251-316-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOLLEY",
        "first_name": "BENTLEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-135855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.