Bryce Robert Dougal, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Price, UT
NPI 1992027031 · NPPES record last updated Feb 16, 2010
Key facts
- NPI
- 1992027031
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 5347750-3102 (UT)
- Practice address
- 300 N Hospital Dr
Price, UT 84501-4218 - Phone
- (435) 637-4800
- NPI assigned
- Feb 16, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180720002257 | WY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2769516129 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1162 | WY | MD | Dentist |
| 5347750-3102 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Peak Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| BNC Dougal Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Memorial Hospital of Converse County | Current |
Accepting new patients | |
| Gastroenterology Associates, LLC | Current |
Accepting new patients | |
| Wind River Anesthesia PC | Current |
Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients |
Locations
1441 Wilkins Cir
Casper, WY 82601
Phone (307) 265-1792
6350 E 2nd St
Casper, WY 82609
Phone (307) 232-6600
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
1503 Cressett St
Gillette, WY 82716
Phone (307) 670-3500
1307 W 3rd St
Ste B
Gillette, WY 82716
Phone (307) 686-8283
51 Town Center Dr
Ste 140
Gillette, WY 82718
Phone (307) 660-3934
1524 W 5th St
Sheridan, WY 82801
Phone 208525209018
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 5347750-3102 | UT | Yes |
Addresses
Primary practice location
300 N Hospital Dr
Price, UT 84501-4218
Mailing address
300 N Hospital Dr
Price, UT 84501-4218
Phone (435) 637-4800
Other providers in Price, UT
- Linda Dinkelman
- Dkmcomber Clinical Services
- Karen Dolan
- Dotson Community Practice
- Laura May Dotson
- Johnny Downard
- Camylle Ann Draper
- Bryan Scott Drolc
- Stephanie Eleene Dunlap
- Brett Adam Dustin
All providers in Price, UT · Certified Registered Nurse Anesthetist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2010. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.