Brandon D Blanton, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Norton, VA
NPI 1942392287 · NPPES record last updated Jan 20, 2010
Key facts
- NPI
- 1942392287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 073553 (VA)
- Practice address
- 100 15TH St NW
Norton, VA 24273-1616 - Phone
- (276) 679-9600
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- JC Edwards School of Medicine, Marshall University, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virginia Highlands Anesthesia PC
Practice addresses (Care Compare)
100 15TH St NW
Norton, VA 24273-1616
Phone (276) 679-9600
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000
Hospital & facility affiliations
- Lonesome Pine Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060201000608 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8820002579 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073553 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Highlands Anesthesia, PC | Current |
Accepting new patients | |
| Norton Community Physician Services LLC | Past | Accepting new patients | |
| Norton Community Physician Services LLC | Past | Accepting new patients |
Locations
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
100 15th St NW
Norton, VA 24273
Phone (276) 439-1000
100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 073553 | VA | Yes |
Addresses
Primary practice location
100 15TH St NW
Norton, VA 24273-1616
Mailing address
96 15TH St NW
Suite 104
Norton, VA 24273-1620
Phone (276) 679-8890
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100062940 | Medicaid | KY | |
| 1942392287 | Medicaid | VA |
Other providers in Norton, VA
- Jessalyn Berry
- Ashley Reba Bevins
- Bio-Medical Applications of Virginia, Inc.
- Zachary Neil Blackmon
- Darrell Kevin Blackwell
- Blue Ridge Medical Management
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
- Blue Ridge Medical Management Corporation
All providers in Norton, VA · Certified Registered Nurse Anesthetist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.