Active NPI
Brad Church, CRNA
- Certified Registered Nurse Anesthetist
- Gettysburg, PA
National Provider Identifier
1912985607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN356752L
- Practice address
- 147 Gettys St
Gettysburg, PA 17325-2534 - Phone
- (717) 337-4168
- Fax
- (717) 337-4318
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | RN356752L | PA | Primary |
Addresses
Primary practice location
147 Gettys St
Gettysburg, PA 17325-2534
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 337-4168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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.
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of York PA Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 1
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
- York, PA
- NPI 1205812260
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1912985607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-337-4168",
"fax_number": "717-337-4318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 GETTYS ST",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173252534",
"telephone_number": "717-337-4168",
"fax_number": "717-337-4318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "BRAD",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN356752L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gettysburg, PA
- Jamie Chesley, DPT
- Thejo Krishna Chipinapi, M.D.
- Christian Counseling Associates of Western Pennsylvania
- Christian Counseling Associates of Western Pennsylvania
- Christian Therapy Services
- Robin M. Chute, CRNP; ANP-C
- Caleb Clawson
- Cleveland L. Null, DDS, PC
- Gregory Lloyd Cline, PTA
- Gregory J Codori, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.