Individual provider Active NPI

Bryan K Daniels, CRNA

  • Certified Registered Nurse Anesthetist
  • Ennis, TX
National Provider Identifier
1891749263
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
598247 Issued in TX
Practice address
2201 W Lampasas St
Ennis, TX 75119-5644
Phone
(972) 875-0900
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Management Solutions of Oklahoma PLLC 9 clinicians

Practice addresses (Care Compare)

1800 W University Blvd
Durant, OK 74701-3006
Phone (580) 931-2270

901 S 5TH Ave
Madill, OK 73446-3640
Phone (580) 795-3384

Hospital & facility affiliations

  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014
  • Alliancehealth Madill Hospital, Madill, OK, CCN 371326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060928000375 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587638754 Reassigns benefits to 1 organization
I20190506001606 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 4587638754 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Management Solutions of Oklahoma PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2019 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 14, 2024 Accepting new patients
Ennis Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Service PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Cumberland Valley Surgical Center, LLC Past Accepting new patients
Texas Professional Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered PastSince Sep 1, 2011 Accepting new patients
Sherman Grayson Hospital LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Baptist Healthcare System, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

901 S 5th Ave
Madill, OK 73446
Phone (580) 564-7338

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

3601 N Calais St
Sherman, TX 75090
Phone (903) 813-3700

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 598247 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

2201 W Lampasas St
Ennis, TX 75119-5644

Mailing address

3004 Troon Rd
Ennis, TX 75119-7267
Phone (972) 875-2266

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
74003617MedicaidKY
000000383673OtherKYANTHEM BCBS KY
C20338OtherKYCUMBERLAND HEALTHCARE
109961605MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 10, 2010.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1891749263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 TROON RD",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751197267",
            "telephone_number": "972-875-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W LAMPASAS ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "972-875-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "BRYAN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "598247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74003617",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS KY",
            "identifier": "000000383673",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE",
            "identifier": "C20338",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109961605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.