Individual provider · Type 1 NPI
Brad Dershem, CRNA
Certified Registered Nurse Anesthetist · Boston, MA
Practice location
540 Massachusetts Ave, Apt 1
Boston, MA 02118-1402
Mailing address
398 Columbus Ave, PMB79
Boston, MA 02116-6008
Other practice locations
- 736 Cambridge St, Brighton, MA 02135 · (617) 789-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist Primary | 367500000X | 654839 (NY) |
| Certified Registered Nurse Anesthetist | 367500000X | 192547-30 (WI) |
| Certified Registered Nurse Anesthetist | 367500000X | RN2283514 (MA) |
Certified Registered Nurse Anesthetist: (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 creden…
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About NPI 1801146451
Brad Dershem, CRNA's National Provider Identifier is 1801146451, issued on Sep 11, 2012. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Boston, MA. The record was last updated on Sep 3, 2026.