Active NPI
Tyler D Braaflat, CRNA
- Certified Registered Nurse Anesthetist
- Minot, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R33215
- Practice address
- #1 Burdick Expy.
Minot, ND 58701 - Phone
- (701) 857-5124
- Fax
- (701) 857-3264
- NPI assigned
- Aug 31, 2010
- Last updated
- Aug 31, 2010
- 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 | R33215 | ND | Primary |
Addresses
Primary practice location
#1 Burdick Expy.
Minot, ND 58701
Mailing address
PO Box 5010
Minot, ND 58702-5010
Phone (701) 857-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (623) 923-5000
5823 W Eugie Ave
Glendale, AZ 85304-1277
Phone (602) 424-4050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dec Anesthesia LLC | Current | Accepting new patients | |
| Ascend Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Summit Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Westside Anesthesia Services PLC | Current | Accepting new patients | |
| Mesa Az Endoscopy ASC LLC | Past | Accepting new patients |
Locations
5823 W Eugie Ave
Ste B
Glendale, AZ 85304
Phone (602) 424-4050
603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405
1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Mesa, AZ
- NPI 1407642945
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
- NPI 1821589144
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Glendale, AZ
- NPI 1831408038
-
- Anesthesiology Physician
- Mesa, AZ
- NPI 1093006520
-
dba Desert Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1770557233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1932415759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5010",
"city": "MINOT",
"state": "ND",
"postal_code": "587025010",
"telephone_number": "701-857-5650",
"fax_number": "701-857-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "#1 BURDICK EXPY.",
"city": "MINOT",
"state": "ND",
"postal_code": "58701",
"telephone_number": "701-857-5124",
"fax_number": "701-857-3264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAAFLAT",
"first_name": "TYLER",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ND",
"license": "R33215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.