Active NPI
Brian Everett Bendorf, CRNA
- Certified Registered Nurse Anesthetist
- Excelsior Springs, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2020016187
- Practice address
- 1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182 - Phone
- (816) 629-2704
- NPI assigned
- Jun 28, 2013
- Last updated
- Jan 4, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 557179 | KS | |
| Certified Registered Nurse Anesthetist | 367500000X | 2020016187 | MO | Primary |
| Registered Nurse | 163W00000X | 110659 | KS | |
| Registered Nurse | 163W00000X | 2007034982 | MO |
Addresses
Primary practice location
1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Mailing address
1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 629-2704
Other practice location 1
4901 College Blvd
Leawood, KS 66211-1602
Phone (913) 491-3999
Other practice location 2
8101 W 135th St Ste 200
Overland Park, KS 66223-1111
Phone (913) 491-3999
Other practice location 3
6000 Hospital Dr # Surgery
Hannibal, MO 63401-6887
Phone (573) 248-5115
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BBendorfCRNA@doctorshospital.securechart.com | Direct | Doctors Hospital, LLC |
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
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
- Excelsior Springs City Hospital
Practice addresses (Care Compare)
1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141
1700 Rainbow Blvd
Excelsior Springs, MO 64024-1182
Phone (816) 630-6081
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 58.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110659 | KS | MD | Registered Nurse |
| 2007034982 | MO | MD | Registered Nurse |
| 557179 | KS | MD | Certified Registered Nurse Anesthetist |
| 2020016187 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Excelsior Springs City Hospital | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Excelsior Springs City Hospital | Current | Accepting new patients | |
| Excelsior Springs City Hospital | Current | Accepting new patients | |
| Excelsior Springs Physician Clinic LLC | Past | Accepting new patients |
Locations
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
1645 Kearney Rd
Excelsior Springs, MO 64024
Phone (816) 634-2050
1700 Rainbow Blvd
Exclsor Sprgs, MO 64024
1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000
Interoperability endpoints
- bbendorfcrna@doctorshospital.securechart.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
dba Excelsior Springs Hospital
- Emergency Medicine Physician
- Excelsior Springs, MO
- NPI 1285733923
-
dba Excelsior Springs Hospital
- Critical Access Hospital
- Excelsior Springs, MO
- NPI 1609870310
-
dba University Physicians Specialty Care Associates
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
dba Excelsior Springs City Hospital Pharmacy
- Clinic Pharmacy
- Excelsior Springs, MO
- NPI 1487754149
-
- Clinic/Center
- Lawson, MO
- NPI 1851860498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1962842427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 RAINBOW BLVD",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640241182",
"telephone_number": "816-629-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 RAINBOW BLVD",
"city": "EXCELSIOR SPRINGS",
"state": "MO",
"postal_code": "640241182",
"telephone_number": "816-629-2704"
}
],
"practiceLocations": [
{
"address_1": "4901 College Blvd",
"address_purpose": "LOCATION",
"city": "Leawood",
"state": "KS",
"postal_code": "662111602",
"country_code": "US",
"telephone_number": "913-491-3999",
"fax_number": "913-491-9309",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8101 W 135th St Ste 200",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662231111",
"country_code": "US",
"telephone_number": "913-491-3999",
"fax_number": "913-491-9309",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Hospital Dr # Surgery",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016887",
"country_code": "US",
"telephone_number": "573-248-5115",
"fax_number": "573-248-5196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENDORF",
"first_name": "BRIAN",
"middle_name": "EVERETT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "557179",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2020016187",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "110659",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2007034982",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "BBendorfCRNA@doctorshospital.securechart.com",
"affiliation": "Y",
"endpointDescription": "Electronic Health Record Direct Address",
"affiliationName": "Doctors Hospital, LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Address to Receive Summary of Care Documents",
"address_1": "4901 College Blvd",
"city": "Leawood",
"state": "KS",
"country_code": "US",
"postal_code": "662111602",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "One Hospital Drive",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "65212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Excelsior Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.