Brian M Bradley, CRNA | |
401 W Pennsylvania Ave, Anaconda, MT 59711 | |
(406) 563-8528 | |
(406) 556-3086 |
Full Name | Brian M Bradley |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 401 W Pennsylvania Ave, Anaconda, Montana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881610616 | NPI | - | NPPES |
1881610616 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0014X | Pain Medicine - Interventional Pain Medicine | 27323 (Montana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN27323 (Montana) | Primary |
Entity Name | Big Horn Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891713533 PECOS PAC ID: 5092612796 Enrollment ID: O20031218000807 |
Entity Name | Butte Pain And Anesthesia Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205869468 PECOS PAC ID: 9133012735 Enrollment ID: O20040206000325 |
Entity Name | St Johns Lutheran Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952312050 PECOS PAC ID: 1557255676 Enrollment ID: O20040210000931 |
Entity Name | Scl Health Medical Group-butte Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477869600 PECOS PAC ID: 2466633102 Enrollment ID: O20110301000023 |
Entity Name | St Johns Lutheran Hospital Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1952312050 PECOS PAC ID: 1557255676 Enrollment ID: O20120405000136 |
Mailing Address | Practice Location Address |
---|---|
Brian M Bradley, CRNA 401 W Pennsylvania Ave, Anaconda, MT 59711-1999 Ph: (406) 563-8528 | Brian M Bradley, CRNA 401 W Pennsylvania Ave, Anaconda, MT 59711 Ph: (406) 563-8528 |