Active NPI
Brad Michael Peterson, CRNA
- Certified Registered Nurse Anesthetist
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA0889
- Practice address
- 4001 E Baseline Rd Ste 102
Gilbert, AZ 85234-2736 - Phone
- (480) 565-8045
- NPI assigned
- Oct 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA0889 | AZ | Primary |
Addresses
Primary practice location
4001 E Baseline Rd Ste 102
Gilbert, AZ 85234-2736
Mailing address
4001 E Baseline Rd Ste 102
Gilbert, AZ 85234-2736
Phone (480) 565-8045
Other practice location 1
1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 981-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
220 S 63Rd St
Mesa, AZ 85206-1619
Phone (480) 641-3937
5555 E Baseline Rd
Mesa, AZ 85206-4709
Phone (480) 393-0575
5656 S Power Rd
Gilbert, AZ 85295-8480
Phone (480) 984-2000
Hospital & facility affiliations
- Banner Ironwood Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.31 of 100
- Quality
- 74.88
- Improvement activities
- 0
- Cost
- 73.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA0889 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Gi Associates | Current | Accepting new patients | |
| Reddy Gi Associates | Current | Accepting new patients | |
| Arlington Anesthesia Group, PLLC | Current | Accepting new patients | |
| Central Arizona Gi & Liver Institute LLC | Current | Accepting new patients | |
| Gateway Anesthesia and Pain Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Anesthesia Solutions | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285
604 W Warner Rd
Ste D1
Chandler, AZ 85225
Phone (480) 393-5075
4001 E Baseline Rd
#102103
Gilbert, AZ 85234
5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733
4001 E Baseline Rd
Ste 102
Gilbert, AZ 85234
Phone (480) 565-8045
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
4001 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 926-6200
220 S 63rd St
Mesa, AZ 85206
Phone (480) 641-3937
1301 S Crismon Rd
#C
Mesa, AZ 85209
4838 E Baseline Rd
Ste 108
Mesa, AZ 85206
Phone (480) 981-2400
5555 E Baseline Rd
Mesa, AZ 85206
Phone (480) 393-5075
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1124430244
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Mesa, AZ
- NPI 1194957241
-
- Pain Medicine Physician
- Mesa, AZ
- NPI 1710026125
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Gilbert, AZ
- NPI 1164871075
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1508399544
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Queen Creek, AZ
- NPI 1124341672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1851644405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 E BASELINE RD STE 102",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342736",
"telephone_number": "480-565-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 E BASELINE RD STE 102",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852342736",
"telephone_number": "480-565-8045"
}
],
"practiceLocations": [
{
"address_1": "1900 N Higley Rd",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852341604",
"country_code": "US",
"telephone_number": "480-981-2400",
"fax_number": "480-981-2407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERSON",
"first_name": "BRAD",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-19",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "CRNA0889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.