Active NPI
Brandi S Halbrook, CRNA
- Certified Registered Nurse Anesthetist
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP123146
- Practice address
- 800 E Dawson St
Tyler, TX 75701-2036 - Phone
- (903) 606-4522
- Fax
- (903) 606-1300
- NPI assigned
- Jan 23, 2013
- Sex
- Female
- 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 | AP123146 | TX | Primary |
Addresses
Primary practice location
800 E Dawson St
Tyler, TX 75701-2036
Mailing address
PO Box 841656
Dallas, TX 75284-1656
Phone (903) 531-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01706948 | Other | TX | RAILROAD MEDICARE |
| 8384UM | Other | TX | BCBS |
| 323974105 | Medicaid | TX | |
| P01844387 | Other | TX | RAIL ROAD MEDICARE |
| 323974103 | Medicaid | TX |
Other names 1
- Brandi Lynn Stark
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
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)
800 E Dawson St
Tyler, TX 75701-2036
910 E Houston St
Christus Mother Frances Hospital
Tyler, TX 75702-8369
Phone (903) 531-5300
Hospital & facility affiliations
- Christus Mother Frances Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgery Center Anesthesia Providers PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Novamed Surgery Center of Tyler, LP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mother Frances Hospital Jacksonville | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mother Frances Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| University of Texas Health Science Center at Tyler-Facility-Physician | Past | Accepting new patients | |
| Novamed Surgery Center of Tyler, LP | Past | Accepting new patients | |
| Northshore Interventional Pain MGMT., Apmc | Past | Accepting new patients | |
| East Texas Anesthesiology Associates, P.a. | Past | Accepting new patients |
Locations
861204 Reliable Pkwy
Chicago, IL 60686
400 10th St E
Waconia, MN 55387
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1802 Moores Ln
Texarkana, TX 75503
Phone (903) 306-0711
802 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 595-4333
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
4801 Troup Hwy
Ste 800
Tyler, TX 75703
Phone (903) 363-1558
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.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1902898323
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Williamsburg, VA
- NPI 1073807376
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Tyler, TX
- NPI 1902919483
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1629185210
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Tyler, TX
- NPI 1083606867
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Tyler, TX
- NPI 1063400778
-
- Physiological Laboratory
- Covington, LA
- NPI 1871764191
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500595200000",
"number": "1902144124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841656",
"city": "DALLAS",
"state": "TX",
"postal_code": "752841656",
"telephone_number": "903-531-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E DAWSON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757012036",
"telephone_number": "903-606-4522",
"fax_number": "903-606-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALBROOK",
"first_name": "BRANDI",
"middle_name": "S",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-23",
"last_updated": "2017-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP123146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01706948",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8384UM",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323974105",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01844387",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323974103",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDI",
"last_name": "STARK",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2017; 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.