Individual provider Active NPI

Gale Brantley, CRNA

  • Certified Registered Nurse Anesthetist
  • Mountain Home, AR
National Provider Identifier
1932545472
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
124032 Issued in AR
Practice address
624 Hospital Drive
Dept 4610
Mountain Home, AR 72653-2955
Phone
(870) 508-1000
Fax
(954) 514-3979
NPI assigned
May 10, 2013
Last updated
Mar 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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 RN1723702 FL
Certified Registered Nurse Anesthetist 367500000X 124032 AR Primary

Addresses

Primary practice location

624 Hospital Drive
Dept 4610
Mountain Home, AR 72653-2955

Mailing address

PO Box 2336
Mountain Home, AR 72654-2336
Phone (870) 424-7070

Other names 1

  • Mildred Gale Brantley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130903000255 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496998999 Reassigns benefits to 1 organization
I20200404000259 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496998999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
White River Health System, Inc.Group PAC ID 0143134270, 190 clinicians
White River Health Anesthesia Service Group, Inc.Group PAC ID 3173042397, 23 clinicians

Practice addresses (Care Compare)

1710 Harrison St
Batesville, AR 72501-7303
Phone (870) 262-3280

2106 E Main St
Stone County Anesthesia Group
Mountain View, AR 72560-6439
Phone (870) 269-4361

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1723702FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2013 Accepting new patients
White River Health System, Inc. Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Aug 1, 2013 Accepting new patients
White River Health Anesthesia Service Group, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 12, 2025 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
White River Health System, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients

Locations

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1240

1710 Harrison St
Ste A
Batesville, AR 72501
Phone (870) 262-3280

2106 E Main St
Mountain View, AR 72560
Phone (870) 262-5056

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 7

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1932545472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2336",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726542336",
            "telephone_number": "870-424-7070",
            "fax_number": "870-424-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DRIVE",
            "address_2": "DEPT 4610",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-1000",
            "fax_number": "954-514-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "GALE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN1723702",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "124032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILDRED",
            "last_name": "BRANTLEY",
            "middle_name": "GALE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain Home, AR

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.
  • 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.