Individual
JERRY LENDO BRANTLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2080 W ARLINGTON BLVD, STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
Mailing address
2080 W ARLINGTON BLVD, STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
186544
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
84747
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407173867
TRICARE
NC
05
—
8053788
—
NC
01
—
P00835163
RAILROAD MEDICARE
NC
Enumeration date
04/26/2010
Last updated
03/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us