M. DOUGLAS BRANNAN (CRNA) – Adult Health Nurse Practitioner, NPI 1720132343

M. DOUGLAS BRANNAN (CRNA) is a healthcare provider. based in Torrance, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 76225 (CA). The NPI Number for M. DOUGLAS BRANNAN (CRNA) is 1720132343

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
M. DOUGLAS BRANNAN (CRNA)
NPI
1720132343
Phone
(310) 231-4474
Address
4140 W 190TH ST
Enumeration Date
22 January 2007
Last Update Date
30 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
3102488299
Graduation Year
2006 (20 years ago)
PAC ID
1759486160
Group Practice PAC ID
0941106645
Professional Enrollment ID
I20150115002242
Address ID
CA900481804LO8723XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for M. DOUGLAS BRANNAN (CRNA)

  • West 190th Street, Harbor Gateway, Torrance, Los Angeles County, California, 90278, United States

    TORRANCE, CA 905045513

    Phone: (310) 231-4474

    Fax: (310) 423-0387

    Type: Mailing

  • 8700 BEVERLY BLVD # SB-290

    WEST HOLLYWOOD, CA 900481804

    Phone: (310) 423-1447

    Fax: (310) 423-0387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150115002242ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement1818$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 90504)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941106645View full group profile
NameSpecialtyState
P A T H O L O G YNY
A N E S T H E S I O L O G YNV
-CA
-CA
-CA
H O S P I T A L I S TCA
Infectious DiseaseCA
Plastic And Reconstructive SurgeryCA
Physical Therapist In Private PracticeCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for M. DOUGLAS BRANNAN (CRNA)?
M. DOUGLAS BRANNAN (CRNA) — NPI 1720132343 — is the standard way to identify this listing.
Does CMS list M. DOUGLAS BRANNAN (CRNA) as active?
Yes — M. DOUGLAS BRANNAN (CRNA) is active in the NPI listing used on this page.
What is M. DOUGLAS BRANNAN (CRNA)'s specialty?
The listing groups M. DOUGLAS BRANNAN (CRNA) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does M. DOUGLAS BRANNAN (CRNA) list a practice location?
Patients near Torrance, California may find M. DOUGLAS BRANNAN (CRNA) in results; validate coverage separately.
Is the information about M. DOUGLAS BRANNAN (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."