Benjamin W Bruestle (NPI# 1659511970, PAC ID# 5890843726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1659511970 |
| PAC ID by PECOS | 5890843726 |
| Professional Enrollment ID | I20090819000359 |
| Full Name | Benjamin W Bruestle |
| Organization Legal Name | SOUTHERN COLORADO CRNA ASSOCIATES INC |
| Address |
4100 Jerry Murphy Rd Pueblo CO 81001-1046 |
| Phone Number | 7195459713 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3072785559 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060012 | ST MARY CORWIN MED CTR, CENTURA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 8000 E Maplewood Ave, Suite 200, Greenwood Village, CO 80111-4727 | 3034383999 | US ANESTHESIA PARTNERS OF COLORADO INC |
| 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 | 7195459713 | SOUTHERN COLORADO CRNA ASSOCIATES INC |
| Organization Legal Name | SOUTHERN COLORADO CRNA ASSOCIATES INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark R Baller | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 719 N Cascade Ave, Colorado Springs, CO 80903-3290 |
| Carla A Jaramillo Ford | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 719 N Cascade Ave, Colorado Springs, CO 80903-3290 |
| David A Hudson | Certified Registered Nurse Anesthetist (crna) | Southern Colorado Crna Associates Inc | 719 N Cascade Ave, Colorado Springs, CO 80903-3290 |
| Street Address |
4100 JERRY MURPHY RD |
| City | PUEBLO |
| State | CO |
| Zip | 81001-1046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric R Richter | Urology | Parkview Ancillary Services Corporation | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Alan W Bickel | Urology | Parkview Ancillary Services Corporation | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| James S Ebertowski | Urology | Parkview Ancillary Services Corporation | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Richard L Brownrigg | Urology | Urology Consultants PC | 4100 Jerry Murphy Rd, Pueblo, CO 81001-1046 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence C Anaya | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Craig K Suderman | Certified Registered Nurse Anesthetist (crna) | 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 | |
| Cheryl Wills | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Gwynn Antonson | Family Medicine | University Family Medicine Center, P.C. | 4020 Jerry Murphy Rd, Pueblo, CO 81001-1045 |
| Leslie G Frederiksen | Obstetrics/gynecology | Parkview Ancillary Services Corporation | 4010 Jerry Murphy Rd, Pueblo, CO 81001-1099 |
| Jerome Steele | Clinical Social Worker | 945 Desert Flower Blvd, Pueblo, CO 81001-1181 | |
| Michelle R Ducy | Physical Therapy | Institute for Total Rehabilitation | 21 Montebello Rd, Pueblo, CO 81001-1236 |
| Yvonne J Morrisey | Optometry | Rocky Mountain Eye Center Inc A Colorado Provider Network | 27 Montebello Rd, Pueblo, CO 81001-1236 |
| Cory W Smith | Optometry | Rocky Mountain Eye Center Inc A Colorado Provider Network | 27 Montebello Rd, Pueblo, CO 81001-1236 |
| Heather N Kim | Optometry | Rocky Mountain Eye Center Inc A Colorado Provider Network | 27 Montebello Rd, Pueblo, CO 81001-1236 |
| Find all physicians in zip 81001 | |||
| City | PUEBLO |
| Zip Code | 81001 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PUEBLO + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Benjamin W Bruestle.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.