BRADLEY DAVID HARRISON CRNA
NPI 1063929222
Nurse Anesthetist, Certified Registered in Detroit, MI
About Bradley David Harrison Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY DAVID HARRISON CRNA (NPI 1063929222) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704281196) and active in the NPI registry since January 2018. He is affiliated with Ascension Providence Hospital, Southfield And Novi and is a graduate of Michigan State University College Of Human Medicine.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bradley David Harrison Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Bradley Harrison reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 306 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 122 clinicians in this Medicare group
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 209 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Providence Hospital, Southfield And Novi
Acute Care Hospitals · Southfield, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bradley Harrison's NPI number?
The NPI number for Bradley Harrison is 1063929222. It was assigned to this individual provider in the NPPES registry on January 9, 2018.
Where is Bradley Harrison located?
Bradley Harrison practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.
What is Bradley Harrison's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Bradley Harrison enrolled in Medicare?
Yes. Bradley Harrison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bradley Harrison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Harrison reassigns Medicare benefits to 3 organizations: Henry Ford Health System (Detroit, MI), Henry Ford Health Providence Hospital (Southfield, MI) and Psj Anesthesia PC (Southfield, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Harrison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Bradley Harrison affiliated with any hospitals?
According to CMS data, Bradley Harrison is affiliated with Ascension Providence Hospital, Southfield And Novi.
When was this NPI record last updated?
The NPPES record for Bradley Harrison was last updated on January 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bradley David Harrison, CRNA · NPI 1063929222
Nurse Anesthetist, Certified Registered physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since January 9, 2018.
## Identity
- **NPI:** 1063929222 (Entity type: Individual)
- **Enumerated:** January 9, 2018
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704281196 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-2600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health System (NPI 1871666479, Detroit, MI); Henry Ford Health Providence Hospital (NPI 1851339196, Southfield, MI); Psj Anesthesia PC (NPI 1275905796, Southfield, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine
## Record status
- **NPPES last updated:** January 9, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1063929222) · Data from the CMS NPPES public registry.