Individual provider Active NPI

Brian James Sommer, CRNA

  • Certified Registered Nurse Anesthetist
  • Greenville, NC
National Provider Identifier
1912252511
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
90361 Issued in NC
Practice address
2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone
(252) 752-2140
Fax
(252) 689-6502
NPI assigned
Jul 19, 2012
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 90361 NC Primary
Registered Nurse 163W00000X 293498 NC

Addresses

Primary practice location

2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770

Mailing address

2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone (252) 752-2140

Other practice location 1

1 Kish Hospital Dr.
DeKalb, IL 60115-9602
Phone (630) 936-4029 ext. 3

Other practice location 2

1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523000931 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375797863 Reassigns benefits to 6 organizations

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
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

212 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-1717

220 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-9268

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8240

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5627NCMDHealth Service Psychologist
293498NCMDRegistered Nurse
90361NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Health System CurrentSince Jun 7, 2022 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Jan 25, 2020 Accepting new patients
Granville Health System Nurse Anesthetist, Certified Registered CurrentSince Jun 7, 2022 Accepting new patients
East Carolina Health - Chowan Inc CurrentSince Dec 31, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 1, 2021 Accepting new patients
Carolina Anesthesia Associates PA Anesthesiology CurrentSince Aug 15, 2017 Accepting new patients
East Carolina Health - Chowan Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 31, 2021 Accepting new patients
Carolina Regional Anesthesia PLLC Anesthesiology CurrentSince Aug 15, 2017 Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

2041 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 323-5203

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2410 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 291-5940

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1912252511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 W ARLINGTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343770",
            "telephone_number": "252-752-2140",
            "fax_number": "252-689-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 W ARLINGTON BLVD STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343770",
            "telephone_number": "252-752-2140",
            "fax_number": "252-689-6502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Kish Hospital Dr.",
            "address_purpose": "LOCATION",
            "city": "DeKalb",
            "state": "IL",
            "postal_code": "601159602",
            "country_code": "US",
            "telephone_number": "630-936-4029 x3",
            "fax_number": "630-936-4032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 College St",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275652507",
            "country_code": "US",
            "telephone_number": "919-690-3000",
            "fax_number": "919-690-3213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMER",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-19",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "90361",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "293498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.