Active NPI
Bradley Hutchinson, CRNA
- Anesthesiologist Assistant
- Grundy, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 0001147269
- Practice address
- RR 5 Box 20
Grundy, VA 24614-9611 - Phone
- (276) 935-1129
- Fax
- (276) 935-1538
- NPI assigned
- Jul 29, 2005
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 0001147269 | VA | Primary |
Addresses
Primary practice location
RR 5 Box 20
Grundy, VA 24614-9611
Mailing address
RR 5 Box 20
Grundy, VA 24614-9611
Phone (276) 935-1129
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001717382 | Other | WV | MTN STATE BCBS |
| 2602581000 | Other | WV | WV MCAD |
| 8939438 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Lamb Cir
Christiansburg, VA 24073-6347
Phone (540) 731-1898
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001147269 | VA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates of Radford Inc | Current | Accepting new patients | |
| Buchanan General Hospital Inc | Current | Accepting new patients | |
| Buchanan General Hospital Inc | Current | Accepting new patients |
Locations
2900 Tyler Rd
Christiansburg, VA 24073
Phone (540) 731-7311
1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Christiansburg, VA
- NPI 1407878465
-
- Internal Medicine Physician
- Grundy, VA
- NPI 1508920273
-
- Certified Registered Nurse Anesthetist
- Roanoke, VA
- NPI 1184634156
-
- Clinical Medical Laboratory
- Grundy, VA
- NPI 1619901444
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Christiansburg, VA
- NPI 1376536573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1922008168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 5 BOX 20",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246149611",
"telephone_number": "276-935-1129",
"fax_number": "276-935-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 5 BOX 20",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246149611",
"telephone_number": "276-935-1129",
"fax_number": "276-935-1538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "BRADLEY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "VA",
"license": "0001147269",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTN STATE BCBS",
"identifier": "001717382",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV MCAD",
"identifier": "2602581000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8939438",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grundy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.