Bradford Clinton Buddenberg, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

66365 Issued in WV

Practice address

2215 Smith Rd
Charleston, WV 25314-2110

Phone

(304) 346-7313

Fax

(304) 744-9802

NPI assigned

Nov 29, 2010

Sex

Male

Sole proprietor

Yes

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.

• Alpine Anesthesia LLC

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1750600995

  AK

  Medicare reassignment Care Compare group NPD
• Chugach Anesthesia, LLC

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1093712358

  AK

  Medicare reassignment Care Compare group NPD
• Providence Anchorage Anesthesia Medical Group, P.C.

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1659368397

  AK

  Medicare reassignment Care Compare group NPD
• Denali Anesthesia, LLC

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1508854712

  AK, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• New Frontier Anesthesia, LLC

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1255604948

  AK

  Medicare reassignment NPD
• Alaska Spine Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1093710717
  NPD (past)
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  NPD (past)

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

• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119

  Hospital

  Care Compare affiliation

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chugach Anesthesia LLC 24 clinicians

Providence Anchorage Anesthesia Medical Group PC 52 clinicians

Alpine Anesthesia LLC 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 29, 2010.

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1972805802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HAYES ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265016812",
            "telephone_number": "304-228-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 SMITH RD",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253142110",
            "telephone_number": "304-346-7313",
            "fax_number": "304-744-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDENBERG",
        "first_name": "BRADFORD",
        "middle_name": "CLINTON",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "66365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orual Buckingham
• Halie Buckland
• Jacob Buckler
• Jessica Bloom Buckley
• Angela Buckner
• Julie M Budinger, MSN RNCS CRNP
• Jennifer Bugg
• Jennifer Bulger, D.C.
• Catherine Bull
• Shari Bullard

• All providers in Charleston, WV
• Certified Registered Nurse Anesthetist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.