BRYAN KEITH BRODDLE CRNA NPI 1548496714

NPI Information

  • NPI: 1548496714
  • Provider Name: BRYAN KEITH BRODDLE, CRNA
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 2610 N. WOODLAWN
    WICHITA, KS
    ZIP 67220
  • Phone: (316) 685-6236

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NPI Details

Bryan Keith Broddle, CRNA is a nurse anesthetist certified registered in Wichita, KS with 16 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. Bryan Keith Broddle, CRNA NPI is 1548496714. 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:

2610 N. WOODLAWN
WICHITA, KS
ZIP 67220-729
Phone: (316) 685-6236
Fax: (316) 858-2793

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 procedure on anus and rectum (HCPCS:00902)
  • Anesthesia for other procedure on urinary system through urethra (HCPCS:00910)
  • Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope (HCPCS:00918)
  • Insertion of artery tube for blood sampling or infusion through skin (HCPCS:36620)
  • Anesthesia for extensive surgery on spine (HCPCS:00670)

The enumeration date for this NPI number is 6/2/2009 and was last updated on 10/12/2011.

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 Nurse1379895032KANSASNo
2367500000XNurse Anesthetist, Certified Registered556905KANSASYes

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
1P00795820OTHERKANSASRR MEDICARE GROUP CQ2302
2110017041MEDICARE PINKANSAS
3200622590AMEDICAIDKANSAS

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: 3/30/2025

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