Brad Steven Tiefel, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Toano, VA
NPI 1972206738 · NPPES record last updated Mar 12, 2024
Key facts
- NPI
- 1972206738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 0024189254 (VA)
- Practice address
- 9304 Ashwood CT
Toano, VA 23168-9456 - Phone
- (757) 912-6525
- NPI assigned
- Mar 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Virginia Commonwealth University, School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- American Anesthesiology of Virginia PC
Practice addresses (Care Compare)
8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (804) 764-6000
Hospital & facility affiliations
- Bon Secours Memorial Regional Medical Center
- Riverside Walter Reed Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240307004375 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3072959410 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001260984 | VA | MD | Certified Registered Nurse Anesthetist |
| 0024189254 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia PC | Single Specialty | Current |
Accepting new patients |
| American Anesthesiology of Virginia, PC | Single Specialty | Current |
Accepting new patients |
Locations
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | 001260984 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024189254 | VA | Yes |
Addresses
Primary practice location
9304 Ashwood CT
Toano, VA 23168-9456
Mailing address
9304 Ashwood CT
Toano, VA 23168-9456
Other practice location 1
8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (804) 764-6000
Other providers in Toano, VA
- Rosemary Paul
- Person Transportation Crew
- Judy Ellen Salken
- Rebecca Lynn Scoggin
- Allison Renee Sprinkle
All providers in Toano, 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 Mar 12, 2024. 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.