Individual provider Active NPI

Bruce Warren Carlough, CRNA

  • Certified Registered Nurse Anesthetist
  • Delray Beach, FL
National Provider Identifier
1962515205
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1923822 Issued in FL
Practice address
5352 Linton Blvd
Delray Beach, FL 33484
Phone
(561) 498-4440
Fax
(561) 495-3103
NPI assigned
Aug 17, 2006
Last updated
May 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1923822 FL Primary

Addresses

Primary practice location

5352 Linton Blvd
Delray Beach, FL 33484

Mailing address

PO Box 628219
Orlando, FL 32862-8219
Phone (800) 477-1283

Other identifiers 1

IdentifierTypeStateIssuer
306193100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000415 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5294906152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

21644 State Rd
Suite 7
Boca Raton, FL 33428-1842
Phone (866) 507-5244

5350 Linton Blvdd
Delray Beach, FL 33484-6514
Phone (561) 495-3066

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (866) 507-5244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1923822FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince Dec 30, 2025 Accepting new patients
Pinnacle Anesthesia PL Past Accepting new patients
Anesthesia & Pain Medicine PA Past Accepting new patients
Pinnacle Anesthesia PL Past Accepting new patients
Albert Cohen MD PA Past Accepting new patients

Locations

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

5350 Linton Blvdd
Delray Beach, FL 33484

5350 Linton Blvdd
Delray Beach, FL 33484
Phone (561) 495-3066

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

200 Northpoint Pkwy
West Palm Beach, FL 33407
Phone (561) 429-6880

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1698/brand/1/csg/1/fhir/r4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1962515205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628219",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328628219",
            "telephone_number": "800-477-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5352 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33484",
            "telephone_number": "561-498-4440",
            "fax_number": "561-495-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOUGH",
        "first_name": "BRUCE",
        "middle_name": "WARREN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "1923822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306193100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.