SCOTT LEE GRADBERG CRNA NPI 1528152287

NPI Information

  • NPI: 1528152287
  • Provider Name: SCOTT LEE GRADBERG, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 135 SOUTH GIBSON ST
    MEDFORD, WI
    ZIP 54451
  • Phone: (715) 748-8100

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NPI Details

Scott Lee Gradberg, CRNA is a nurse anesthetist certified registered in Medford, WI with 30 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. Scott Lee Gradberg, CRNA NPI is 1528152287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

135 SOUTH GIBSON ST
MEDFORD, WI
ZIP 54451-622
Phone: (715) 748-8100
Fax: (715) 748-8199

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/10/2007.

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
1367500000XNurse Anesthetist, Certified Registered047894WISCONSINYes

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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