| Bradley Robert Close, CRNA | |
|
900 Sunset Dr, La Grande, OR 97850-1387 | |
| (541) 963-8421 | |
| (541) 963-1476 |
| Full Name | Bradley Robert Close |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 900 Sunset Dr, La Grande, Oregon |
| 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 |
|---|---|---|---|
| 1649638875 | NPI | - | NPPES |
| 500763836 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024173219 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201902612CRNA (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grande Ronde Hospital | La grande, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grande Ronde Hospital Inc | 0547170789 | 76 |
| Saint Alphonsus Medical Center Baker City Inc | 4981732518 | 12 |
| Entity Name | Grande Ronde Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467446195 PECOS PAC ID: 0547170789 Enrollment ID: O20031124000758 |
| Entity Name | Harney District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20040528000077 |
| Entity Name | Harney District Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20061104000508 |
| Entity Name | Saint Alphonsus Medical Center Baker City Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881726206 PECOS PAC ID: 4981732518 Enrollment ID: O20100618000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Robert Close, CRNA Po Box 3290, La Grande, OR 97850-7290 Ph: (541) 963-8421 | Bradley Robert Close, CRNA 900 Sunset Dr, La Grande, OR 97850-1387 Ph: (541) 963-8421 |
Zachary Michael Jacobsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-8421 | |
Sheridan D Klinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 900 Sunset Dr, La Grande, OR 97850 Phone: 541-963-1401 Fax: 541-963-1502 |