| Bradley Alan Kirkenir, CRNA | |
|
7309 N Knoxville Ave, Peoria, IL 61614-2085 | |
| (217) 528-7541 | |
| Not Available |
| Full Name | Bradley Alan Kirkenir |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 7309 N Knoxville Ave, Peoria, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023444866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 20910728 (Illinois) | Primary |
| Entity Name | Springfield Clinic, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Alan Kirkenir, CRNA Po Box 19248, Springfield, IL 62794-9248 Ph: (217) 528-7541 | Bradley Alan Kirkenir, CRNA 7309 N Knoxville Ave, Peoria, IL 61614-2085 Ph: (217) 528-7541 |
Melissa Terhark, C.R.N.A Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8600 North State Route 91, Suite #250, Peoria, IL 61615 Phone: 309-692-5394 Fax: 309-692-2538 | |
Mathew J Maupin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 N. Knoxville Suite 416, Peoria, IL 61528 Phone: 309-692-7246 Fax: 309-692-7226 | |
Sandra M Krahn, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5522 | |
Adam Randel Osborne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5550 | |
Dr. Samantha Mae Aufderhaar, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
Mr. Gary L Boniger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615 Phone: 309-692-5393 Fax: 309-692-2538 |