MR. BRENDAN SANSOM CRNA
NPI 1245629997
Nurse Anesthetist, Certified Registered in Birmingham, AL

Active since January 19, 2015Accepts Medicare Assignment
619 19TH ST S, ROOM-JT845, BIRMINGHAM, AL 35249(205) 979-5882(205) 979-1248 Get Directions Write a Review

NPPES record last updated: January 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Brendan Sansom Crna NPPES

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

MR. BRENDAN SANSOM CRNA (NPI 1245629997) is an individual nurse anesthetist, certified registered in Birmingham, Alabama, licensed in Alabama (1-127296) and active in the NPI registry since January 2015. He is a graduate of University Of Alabama School Of Medicine (2014).

NPPES Registry Identity

NPI1245629997
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. BRENDAN SANSOMCredential: CRNA
Location Address619 19TH ST S, ROOM-JT845Birmingham, AL 35249-1900
Mailing AddressPo Box 11407, Attn: Dept 1717Birmingham, AL 35246-0100 · (205) 979-5882 · Fax (205) 979-1248
Fax(205) 979-1248
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2014
Enumeration DateJanuary 19, 2015
✔ NPI 1245629997 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 AL · 1-127296
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.
619 19TH ST S, Birmingham, AL 35249

Accepted Insurance

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

Mr. Brendan Sansom 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.

PECOS PAC ID6709104466
PECOS Enrollment IDI20150409002127

Medicare Billing Reassignments

3

Medicare enrollment records show Brendan Sansom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
619 19TH ST S # JT845
Birmingham, AL 35249
  • Reassigned Medicare billing, Alabama enrollment
  • 460 clinicians in this Medicare group
Ambulatory Surgical
2000 6TH AVE SOUTH
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
100 PILOT MEDICAL DR STE 300
Birmingham, AL 35235
  • Reassigned Medicare billing, Alabama enrollment
  • 20 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Radiology (Diagnostic Radiology)
619 19TH ST S, JT N342
BIRMINGHAM, AL 35249
Internal Medicine (Nephrology)
619 19TH ST S
BIRMINGHAM, AL 35249
Anesthesiology
619 19TH ST S
BIRMINGHAM, AL 35249
Surgery (Surgical Critical Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Nurse Practitioner (Acute Care)
619 19TH ST S
BIRMINGHAM, AL 35249
Pharmacist
619 19TH ST S
BIRMINGHAM, AL 35249
Pathology (Anatomic Pathology & Clinical Pathology)
619 19TH ST S
BIRMINGHAM, AL 35249
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35249

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 Brendan Sansom's NPI number?

The NPI number for Brendan Sansom is 1245629997. It was assigned to this individual provider in the NPPES registry on January 19, 2015.

Where is Brendan Sansom located?

Brendan Sansom practices at 619 19th St S Room-Jt845, Birmingham, AL 35249. The listed phone number is (205) 979-5882.

What is Brendan Sansom's specialty?

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

Is Brendan Sansom enrolled in Medicare?

Yes. Brendan Sansom 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 Brendan Sansom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Sansom reassigns Medicare benefits to 3 organizations: University Of Alabama At Birmingham (Birmingham, AL), University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Central Alabama Anesthesiology, Inc. (Birmingham, AL). 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 Brendan Sansom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brendan Sansom accept?

Health plans from Blue Cross and Blue Shield of Alabama list Brendan Sansom 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 Brendan Sansom was last updated on January 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.