ALFRED W IMBODY CRNA
NPI 1215057914
Nurse Anesthetist, Certified Registered in Philadelphia, PA

Active since March 29, 2007
2301 S BROAD ST, 1ST FLOOR, PHILADELPHIA, PA 19148(215) 952-9323 Get Directions Write a Review

NPPES record last updated: February 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alfred W Imbody Crna NPPES

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

ALFRED W IMBODY CRNA (NPI 1215057914) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN540700) and active in the NPI registry since March 2007. He is a graduate of Drexel University College Of Medicine (2007).

NPPES Registry Identity

NPI1215057914
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameALFRED W IMBODYCredential: CRNA
Location Address2301 S BROAD ST, 1ST FLOORPhiladelphia, PA 19148-3542
Mailing Address2301 S Broad St, 1st FloorPhiladelphia, PA 19148-3542 · (215) 952-9323
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2007
Enumeration DateMarch 29, 2007
Last NPPES UpdateFebruary 28, 2013
NPI 1215057914 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
Licenses Licensed in PA · RN540700 Licensed in NJ · 26NR11843500
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.
2301 S BROAD ST, Philadelphia, PA 19148

Other Identifiers 1

Medicare PIN15100PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alfred W Imbody Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658453485
PECOS Enrollment IDI20201005001476, I20230803001729

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.

Hospitalist
2301 S BROAD ST
PHILADELPHIA, PA 19148
Pathology (Clinical Pathology/Laboratory Medicine)
2301 S BROAD ST
PHILADELPHIA, PA 19148
Pharmacy (Institutional Pharmacy)
2301 S BROAD ST
PHILADELPHIA, PA 19148
Physician Assistant
2301 S BROAD ST, SUITE 205
PHILADELPHIA, PA 19148
Surgery
2301 S BROAD ST, SUITE 201
PHILADELPHIA, PA 19148
Family Medicine
2301 S BROAD ST
PHILADELPHIA, PA 19148
Anesthesiology
2301 S BROAD ST
PHILADELPHIA, PA 19148
Nurse Anesthetist, Certified Registered
2301 S BROAD ST
PHILADELPHIA, PA 19148

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 Alfred Imbody's NPI number?

The NPI number for Alfred Imbody is 1215057914. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Alfred Imbody located?

Alfred Imbody practices at 2301 S Broad St 1st Floor, Philadelphia, PA 19148. The listed phone number is (215) 952-9323.

What is Alfred Imbody's specialty?

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

Is Alfred Imbody enrolled in Medicare?

Yes. Alfred Imbody is registered in the Medicare PECOS enrollment system.

What insurance does Alfred Imbody accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Kansas City and Blue Cross and Blue Shield of Texas list Alfred Imbody as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alfred Imbody was last updated on February 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.