MR. MARK ANDREYEVICH BOBROVNIKOV CRNA
NPI 1962129775
Nurse Anesthetist, Certified Registered in Centralia, WA

NPI Status: Active since October 24, 2022

Contact Information

914 S SCHEUBER RD
CENTRALIA, WA
ZIP 98531
Phone: (360) 736-2803

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About MARK BOBROVNIKOV

This page provides the complete NPI Profile along with additional information for Mark Bobrovnikov, a provider established in Centralia, Washington with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1962129775 assigned on October 2022. The practitioner's primary taxonomy code is 367500000X with license number AP70080711 (WA). The provider is registered as an individual and his NPI record was last updated January 2026.

NPI
1962129775
Provider Name
MR. MARK ANDREYEVICH BOBROVNIKOV CRNA
Gender
Male
Entity Type
Individual
Location Address
914 S SCHEUBER RD CENTRALIA, WA 98531
Location Phone
(360) 736-2803
Mailing Address
6400 SE LAKE RD STE 300 PORTLAND, OR 97222
Mailing Phone
(503) 594-1774
Is Sole Proprietor?
No
Enumeration Date
10-24-2022
Last Update Date
01-12-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP70080711
License State
WA
Taxonomy Description
(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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962129775, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 2 + 2 + 1 + 8 + 7 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1962129775.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine (Emergency Medical Services)
914 S SCHEUBER RD
CENTRALIA, WA 98531
Emergency Medicine (Emergency Medical Services)
914 S SCHEUBER RD
CENTRALIA, WA 98531
Emergency Medicine
914 S SCHEUBER RD
CENTRALIA, WA 98531
Emergency Medicine
914 S SCHEUBER RD
CENTRALIA, WA 98531
Emergency Medicine
914 S SCHEUBER RD
CENTRALIA, WA 98531
Dietitian, Registered
914 S SCHEUBER RD
CENTRALIA, WA 98531
Internal Medicine
914 S SCHEUBER RD
CENTRALIA, WA 98531
Internal Medicine
914 S SCHEUBER RD
CENTRALIA, WA 98531
Anesthesiology
914 S SCHEUBER RD
CENTRALIA, WA 98531
Anesthesiology
914 S SCHEUBER RD
CENTRALIA, WA 98531
Emergency Medicine (Hospice and Palliative Medicine)
914 S SCHEUBER RD
CENTRALIA, WA 98531
Nurse Anesthetist, Certified Registered
914 S SCHEUBER RD
CENTRALIA, WA 98531
Physical Medicine & Rehabilitation
914 S SCHEUBER RD
CENTRALIA, WA 98531
Hospitalist
914 S SCHEUBER RD
CENTRALIA, WA 98531
Physical Therapist
914 S SCHEUBER RD
CENTRALIA, WA 98531
Internal Medicine
914 S SCHEUBER RD
CENTRALIA, WA 98531
Emergency Medicine
914 S SCHEUBER RD
CENTRALIA, WA 98531
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
914 S SCHEUBER RD
CENTRALIA, WA 98531
Anesthesiology
914 S SCHEUBER RD
CENTRALIA, WA 98531
Health Educator
914 S SCHEUBER RD
CENTRALIA, WA 98531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962129775, enumerated as an "individual" on October 24, 2022.

The provider is located at 914 S SCHEUBER RD CENTRALIA, WA 98531 and the phone number is (360) 736-2803.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.