RONALD L BROCKETT CRNA
NPI 1104996438
Nurse Anesthetist, Certified Registered in Romney, WV

Q: What is Ronald Brockett's NPI number?

The NPI number for Ronald Brockett is 1104996438. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Ronald Brockett's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Brockett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 08, 2006

549 CENTER AVE, ROMNEY, WV 26757(304) 822-4651(304) 822-7809 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ronald L Brockett Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD L BROCKETT CRNA (NPI 1104996438) is an individual nurse anesthetist, certified registered in Romney, West Virginia, licensed in West Virginia (28779) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1104996438

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameRONALD L BROCKETTCredential: CRNA

Location Address549 CENTER AVERomney, WV 26757-1352

Mailing Address549 Center AveRomney, WV 26757-1352 · (304) 822-4651 · Fax (304) 822-7809

Phone(304) 822-4651

Fax(304) 822-7809

Sole ProprietorYes

Enumeration DateNovember 8, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104996438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WV · 28779

Definition

(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.

549 CENTER AVE, Romney, WV 26757

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Other Identifiers 3

Medicaid0068380000WV

Medicare ID-Type Unspecified7182751

Medicare UPINS63905

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABDUL S QURESHI MD

Internal Medicine