NPIMap

Individual provider Active NPI

Brandan Eric Crum, M.D.

  • Emergency Medicine Physician
  • Reno, NV
National Provider Identifier
1841507233
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14985 Issued in NV
Practice address
235 W 6TH St
Reno, NV 89503-4548
Phone
(775) 770-3188
NPI assigned
Sep 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 14985 NV Primary
Emergency Medicine Physician 207P00000X A118266 CA

Addresses

Primary practice location

235 W 6TH St
Reno, NV 89503-4548

Mailing address

5070 Bella CT
Reno, NV 89519-6157
Phone (775) 848-7562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140224001891 NV Practitioner - Emergency Medicine 3476707795 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Nevada School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crum,Stefanko and Jones LTDGroup PAC ID 6901883438, 16 clinicians
Reno Emergency Physicians Association PLLCGroup PAC ID 6305745738, 13 clinicians

Practice addresses (Care Compare)

2001 Errecart Blvd
Ruby Crest Emergency Medicine
Elko, NV 89801-8333
Phone (775) 738-5151

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-5188

Hospital & facility affiliations

  • Saint Mary'S Regional Medical Center Hospital, Reno, NV, CCN 290009
  • Northern Nevada Medical Center Hospital, Sparks, NV, CCN 290032
  • Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Emergency Physicians Association, PLLC Emergency Medicine CurrentSince Dec 3, 2013 Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 16, 2021 Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine CurrentSince Jul 16, 2021 Accepting new patients
Crum,Stefanko and Jones LTD Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Capitol Urgent Care Inc Past Accepting new patients

Locations

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

235 W 6th St
Fl 2
Reno, NV 89503
Phone (775) 355-5600

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Organizations & group practices 7

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 10

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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1841507233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5070 BELLA CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895196157",
            "telephone_number": "775-848-7562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034548",
            "telephone_number": "775-770-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "BRANDAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "14985",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A118266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.