| Robin B Bradshaw, CRNA | |
|
2055 N Main St, Tooele, UT 84074 | |
| (435) 843-3600 | |
| Not Available |
| Full Name | Robin B Bradshaw |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 2055 N Main St, Tooele, Utah |
| 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 |
|---|---|---|---|
| 1467463257 | NPI | - | NPPES |
| 1467463257 | Medicaid | UT | |
| 182057301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 727032 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sevier Valley Hospital | Richfield, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sevier Valley Anesthesia Group Llp | 5991855389 | 8 |
| Entity Name | Sevier Valley Anesthesia Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487895462 PECOS PAC ID: 5991855389 Enrollment ID: O20090605000031 |
| Entity Name | Gunnison Valley Hospital |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1952463036 PECOS PAC ID: 3678487659 Enrollment ID: O20150515000510 |
| Entity Name | Mt Ogden Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770999807 PECOS PAC ID: 4587976436 Enrollment ID: O20150706002685 |
| Entity Name | Beaver Valley Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1174979108 PECOS PAC ID: 2769376326 Enrollment ID: O20160525000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Robin B Bradshaw, CRNA Po Box 268, Bountiful, UT 84011-0268 Ph: (801) 296-2113 | Robin B Bradshaw, CRNA 2055 N Main St, Tooele, UT 84074 Ph: (435) 843-3600 |
Matthew A. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St., Tooele, UT 84074 Phone: 435-843-3600 | |
Annette S Proctor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Evie Anna Purdom, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Christopher David Smith, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-8543 | |
Mr. Kyle H Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 | |
Mark E Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2055 N Main St, Tooele, UT 84074 Phone: 435-843-3600 |