| Mr Bradford Clinton Buddenberg, CRNA | |
|
2215 Smith Rd, Charleston, WV 25314-2110 | |
| (304) 346-7313 | |
| (304) 744-9802 |
| Full Name | Mr Bradford Clinton Buddenberg |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 2215 Smith Rd, Charleston, West Virginia |
| 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 |
|---|---|---|---|
| 1972805802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 66365 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alpine Anesthesia Llc | 1153519525 | 7 |
| Providence Anchorage Anesthesia Medical Group Pc | 2163414830 | 35 |
| Chugach Anesthesia Llc | 2961465653 | 19 |
| Entity Name | Providence Anchorage Anesthesia Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659368397 PECOS PAC ID: 2163414830 Enrollment ID: O20040401000952 |
| Entity Name | Denali Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508854712 PECOS PAC ID: 2567455678 Enrollment ID: O20040405001747 |
| Entity Name | Chugach Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093712358 PECOS PAC ID: 2961465653 Enrollment ID: O20041109001035 |
| Entity Name | Alpine Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750600995 PECOS PAC ID: 1153519525 Enrollment ID: O20101229000650 |
| Entity Name | New Frontier Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255604948 PECOS PAC ID: 2567624257 Enrollment ID: O20120425000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradford Clinton Buddenberg, CRNA 520 Hayes St, Morgantown, WV 26501-6812 Ph: (304) 228-5040 | Mr Bradford Clinton Buddenberg, CRNA 2215 Smith Rd, Charleston, WV 25314-2110 Ph: (304) 346-7313 |
Sandra R Miles, CRNA, RN, BSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 501 Morris St, Charleston, WV 25301 Phone: 304-388-5432 | |
Mrs. Hope Halstead Webb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302 Phone: 304-388-2470 | |
Victoria J Kitts, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Mccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-9556 Fax: 304-388-9582 | |
Meg Adair Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave S. E., Charleston, WV 25304 Phone: 304-388-9556 | |
Tiffany D. Dutton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Dept. Of Surgery, Charleston, WV 25304 Phone: 304-388-5503 Fax: 304-388-9852 | |
Jennifer D Valdez, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5432 | |
Christopher S Mullins, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-688-0228 |