Individual provider Active NPI

Bradford St. Martin, CRNA

  • Certified Registered Nurse Anesthetist
  • Westwood, MA
National Provider Identifier
1962833715
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN01310 Issued in RI
Practice address
690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone
(781) 407-7713
Fax
(781) 407-0998
NPI assigned
Dec 4, 2013
Sex
Male
Sole proprietor
No

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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
Medstream Anesthesia PLLC 571 clinicians

Practice addresses (Care Compare)

44 S Main St
Randolph, VT 05060-1381
Phone (802) 728-7000

Hospital & facility affiliations

  • Gifford Medical Center Hospital, Randolph, VT, CCN 471301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI, VT3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20140303000390 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466682976 Reassigns benefits to 5 organizations
I20150604001667 RI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648400150 Reassigns benefits to 3 organizations
I20231023002911 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648400150 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2282921MAMDCertified Registered Nurse Anesthetist
APRN01310RIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University Gastroenterology, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 5, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Mar 1, 2018 Accepting new patients
Steward Medical Group, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Prima Care, PC CurrentSince Oct 1, 2020 Accepting new patients
Prima Care, PC CurrentSince Oct 1, 2020 Accepting new patients
Anesthesia Associates of Vermont PLC CurrentSince Sep 1, 2023 Accepting new patients
Narragansett Bay Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2014 Accepting new patients
Anesthesia Partners of New England, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Atlantic Anesthesia, P.C. CurrentSince Jan 8, 2019 Accepting new patients
Bayside Endoscopy Center, LLC Past Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

277 Pleasant St
Ste 240
Fall River, MA 02721
Phone (500) 300-3271

748 Mount Pleasant St
Unit 50036
New Bedford, MA 02745

100 Morse St
Norwood, MA 02062
Phone (781) 255-0362

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

690 Canton St
Ste 325
Westwood, MA 02090
Phone 7814077713307

1407 S County Trl
Ste 410
East Greenwich, RI 02818
Phone (401) 886-4040

33 Staniford St
Providence, RI 02905
Phone (401) 274-1810

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

33 Staniford St
#1
Providence, RI 02905
Phone (401) 649-4229

62 Amaral St
Riverside, RI 02915
Phone (401) 649-4030

75 Newman Ave
Ste 100
Rumford, RI 02916

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

593 Hercules Dr
Colchester, VT 05446
Phone (802) 373-5266

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2282921 MA
Registered Nurse 163W00000X RN2282921 MA
Certified Registered Nurse Anesthetist 367500000X APRN01310 RI Primary

Addresses

Primary practice location

690 Canton St
Suite 325
Westwood, MA 02090-2321

Mailing address

690 Canton St
Suite 325
Westwood, MA 02090-2321

Other practice location 1

33 Staniford St Fl 1
Providence, RI 02905-3100
Phone (401) 421-8800

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1962833715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Staniford St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053100",
            "country_code": "US",
            "telephone_number": "401-421-8800",
            "fax_number": "401-421-2492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. MARTIN",
        "first_name": "BRADFORD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-04",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "2282921",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2282921",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "RI",
            "license": "APRN01310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.