GARY DON BEVAN CRNA NPI 1174579742

NPI Information

  • NPI: 1174579742
  • Provider Name: GARY DON BEVAN, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 1055 N CURTIS RD
    BOISE, ID
    ZIP 83706
  • Phone: (208) 367-6416

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NPI Details

Gary Don Bevan, CRNA is a nurse anesthetist certified registered in Boise, ID with 22 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Gary Don Bevan, CRNA NPI is 1174579742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MAYO MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

1055 N CURTIS RD
BOISE, ID
ZIP 83706-352
Phone: (208) 367-6416

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Anesthesia for other procedure on upper abdomen (HCPCS:00790)
  • Injection of anesthetic agent and/or steroid into thigh nerve (HCPCS:64447)
  • Anesthesia for procedure on small and large bowel using an endoscope (HCPCS:00813)
  • Anesthesia for procedure for total knee joint replacement (HCPCS:01402)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Anesthesia for extensive surgery on spine (HCPCS:00670)
  • Insertion of artery tube for blood sampling or infusion through skin (HCPCS:36620)

The enumeration date for this NPI number is 5/25/2006 and was last updated on 4/7/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseN32936IDAHONo
2367500000XNurse Anesthetist, Certified RegisteredRNA588IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1806886700MEDICAIDIDAHO
2022487MEDICAIDOREGON
31604120MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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