| Mr Bradley Louis Jones, CRNA | |
|
800 E Dawson St, Tyler, TX 75701-2036 | |
| (903) 531-5000 | |
| Not Available |
| Full Name | Mr Bradley Louis Jones |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 800 E Dawson St, Tyler, Texas |
| 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 |
|---|---|---|---|
| 1104928068 | NPI | - | NPPES |
| P01198527 | Other | TX | RAIL ROAD |
| 75-0818167-015 | Other | TX | TRICARE |
| 8351UE | Other | TX | BCBS BLUE |
| 289953603 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP04179 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 664987 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Specialists Hospital Shreveport | Shreveport, LA | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Health Central Louisiana | 4688570955 | 33 |
| Novus Louisiana Medical Professional Corporation | 5395194880 | 21 |
| Christus Health Northern Louisiana | 8628980554 | 23 |
| Entity Name | Medical Center Anesthesiologists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669469748 PECOS PAC ID: 6608814843 Enrollment ID: O20050419001114 |
| Entity Name | Christus Health Northern Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801822762 PECOS PAC ID: 8628980554 Enrollment ID: O20060111000997 |
| Entity Name | Christus Health Central Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417494758 PECOS PAC ID: 4688570955 Enrollment ID: O20170515000438 |
| Entity Name | Shreveport Sedation Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770083164 PECOS PAC ID: 3173886736 Enrollment ID: O20180412000333 |
| Entity Name | Novus Louisiana Medical Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336926872 PECOS PAC ID: 5395194880 Enrollment ID: O20231208002673 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Louis Jones, CRNA Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000 | Mr Bradley Louis Jones, CRNA 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 531-5000 |
Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541 | |
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290 | |
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522 | |
Harold Richie Bandalan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290 | |
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351 | |
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522 | |
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441 |