| Nathan R Broadbent, CRNA | |
|
500 Sw Ramsey Ave, Grants Pass, OR 97527-5543 | |
| (541) 472-7267 | |
| (812) 237-0182 |
| Full Name | Nathan R Broadbent |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 500 Sw Ramsey Ave, Grants Pass, 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 |
|---|---|---|---|
| 1538422290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN 9299572 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201407290CRNA (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Development Partners Llc | 5193180610 | 3 |
| Entity Name | Western Anesthesia Provider Group-scherr Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801450572 PECOS PAC ID: 6204160385 Enrollment ID: O20190624001551 |
| Entity Name | Carson Tahoe Physician Hospital Organization, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063169829 PECOS PAC ID: 8628465721 Enrollment ID: O20220419002777 |
| Entity Name | Anesthesia Development Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073227815 PECOS PAC ID: 5193180610 Enrollment ID: O20230504002699 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan R Broadbent, CRNA 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 Ph: (541) 789-4281 | Nathan R Broadbent, CRNA 500 Sw Ramsey Ave, Grants Pass, OR 97527-5543 Ph: (541) 472-7267 |
Thomas R Leblanc, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Scott W Rigdon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Matthew Allyn Fagert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 | |
Jamey L Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-5110 Fax: 541-472-7268 | |
Mr. Ronald Shenker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Nw Hawthorne Ave, Grants Pass, OR 97526 Phone: 541-472-4884 | |
Keith Andrew Jensen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-472-7000 |