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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRAD DERSHEM CRNA
NPI 1801146451
Nurse Anesthetist, Certified Registered in Boston, MA

Active since September 11, 2012
540 MASSACHUSETTS AVE, APT 1, BOSTON, MA 02118(773) 288-9440 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 3, 2026, Nov 14, 2021 (2 updates tracked since 2021).

About Brad Dershem Crna NPPES

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

BRAD DERSHEM CRNA (NPI 1801146451) is an individual nurse anesthetist, certified registered in Boston, Massachusetts, licensed in New York (654839) and active in the NPI registry since September 2012. He is affiliated with Melrosewakefield Healthcare, maintains a secondary practice location in Brighton, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1801146451
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRAD DERSHEMCredential: CRNA
Location Address540 MASSACHUSETTS AVE, APT 1Boston, MA 02118-1402
Mailing Address398 Columbus Ave, Pmb79Boston, MA 02116-6008 · (773) 288-9440
Phone(773) 288-9440
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 11, 2012
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1801146451 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 NY · 654839✔ Licensed in WI · 192547-30✔ Licensed in MA · RN2283514
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.
540 MASSACHUSETTS AVE, Boston, MA 02118
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Secondary Practice Location 1

Location 1736 Cambridge StBrighton, MA 02135 · Phone (617) 789-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brad Dershem 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 ID6608027693
PECOS Enrollment IDI20130417000511

Areas of Expertise CMS Part B claims 3

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
51 services51 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services18 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

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 Brad Dershem's NPI number?

The NPI number for Brad Dershem is 1801146451. It was assigned to this individual provider in the NPPES registry on September 11, 2012.

Where is Brad Dershem located?

Brad Dershem practices at 540 Massachusetts Ave Apt 1, Boston, MA 02118. The listed phone number is (773) 288-9440.

What is Brad Dershem's specialty?

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

Is Brad Dershem enrolled in Medicare?

Yes. Brad Dershem 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.

Is Brad Dershem affiliated with any hospitals?

According to CMS data, Brad Dershem is affiliated with Melrosewakefield Healthcare and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Brad Dershem was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.