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MR. BRYAN SHAWN PARKS C.R.N.A.
NPI 1164645388
Nurse Anesthetist, Certified Registered in Paw Paw, MI

Active since April 10, 2007
408 HAZEN ST, PAW PAW, MI 49079(269) 657-3141 Get Directions Write a Review

NPPES record last updated: June 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Bryan Shawn Parks C.r.n.a. NPPES

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

MR. BRYAN SHAWN PARKS C.R.N.A. (NPI 1164645388) is an individual nurse anesthetist, certified registered in Paw Paw, Michigan, licensed in Michigan (4704202241) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1164645388
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. BRYAN SHAWN PARKSCredential: C.R.N.A.
Location Address408 HAZEN STPaw Paw, MI 49079-1019
Mailing Address10390 S 2nd StSchoolcraft, MI 49087-9444 · (269) 668-4787
Phone(269) 657-3141
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJune 4, 2010
✔ NPI 1164645388 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 MI · 4704202241
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.
408 HAZEN ST, Paw Paw, MI 49079
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Other Identifiers 2

Other430H060120MI · Bcbsm
Medicare PINH06012009MI

Other Providers at the Same Location NPPES 4

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

SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC
Emergency Medicine (Emergency Medical Services)
408 HAZEN ST, EMERGENCY DEPARTMENT
PAW PAW, MI 49079
Van Buren County (269) 343-3900
ERIK MATHENY MPT
Physical Therapist
408 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-1390
BRONSON LAKEVIEW HOSPITAL
General Acute Care Hospital (Critical Access)
408 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-3141
JOHN F BOOTHBY CRNA
Nurse Anesthetist, Certified Registered
408 HAZEN ST
PAW PAW, MI 49079
Van Buren County (269) 657-1325

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 Bryan Parks's NPI number?

The NPI number for Bryan Parks is 1164645388. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Bryan Parks located?

Bryan Parks practices at 408 Hazen St, Paw Paw, MI 49079. The listed phone number is (269) 657-3141.

What is Bryan Parks's specialty?

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

When was this NPI record last updated?

The NPPES record for Bryan Parks was last updated on June 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.