| 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 |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN27323 (Montana) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 27323 (Montana) | Secondary |
| Entity Name | Big Horn Hospital Association |
|---|---|
| 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 |
|---|---|
| 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 | 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 |
Kerianne Ruth Poskaitis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 W Pennsylvania Ave, Anaconda, MT 59711 Phone: 406-563-8500 Fax: 406-563-8694 |
Betty J Nelson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 401 W Pennsylvania Ave, Anaconda, MT 59711 Phone: 406-563-8500 Fax: 406-563-8694 |
Brandon James Herres, BSN CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 W Pennsylvania Ave, Anaconda, MT 59711 Phone: 406-563-8500 Fax: 406-563-8694 |
Kirstie Jenae Gorthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 401 W Pennsylvania Ave, Anaconda, MT 59711 Phone: 406-563-8500 |