Bradley Benson Humble, | |
530 S Jackson St, Louisville, KY 40202-1675 | |
(502) 852-1735 | |
(502) 852-6056 |
Full Name | Bradley Benson Humble |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 530 S Jackson St, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316257736 | NPI | - | NPPES |
7100147700 | Medicaid | KY | |
201029430 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 1108550 (Kentucky) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3006761 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Louisville Physicians Inc | 3476725599 | 1111 |
Entity Name | Anesthesia Care Enterprises Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861450371 PECOS PAC ID: 0840104899 Enrollment ID: O20031114000300 |
Entity Name | Universal Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164696282 PECOS PAC ID: 9830268341 Enrollment ID: O20080522000569 |
Entity Name | University Of Louisville Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
Mailing Address | Practice Location Address |
---|---|
Bradley Benson Humble, Po Box 909, Louisville, KY 40201-0909 Ph: (502) 588-0328 | Bradley Benson Humble, 530 S Jackson St, Louisville, KY 40202-1675 Ph: (502) 852-1735 |
Benjamin Martin Choi Sampedro, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 E Chestnut St, Louisville, KY 40202 Phone: 214-687-0001 | |
Mrs. Shelby Victoria Cofer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-562-3000 | |
Marian Antonette Cochiaosue-avery, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 | |
Jessica Earline Luvisi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 231 E Chestnut St, Louisville, KY 40202 Phone: 502-629-6000 | |
Chad Riddle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4034 Saint Ives Ct, Louisville, KY 40207 Phone: 502-640-8349 Fax: 502-749-9202 | |
Mr. Scott M. Beyl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-6901 Fax: 502-852-6056 | |
Lauren Elise Coles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 S Jackson St, Louisville, KY 40202 Phone: 502-852-1735 Fax: 502-852-6056 |