BRANDON SOLEY – Certified Registered Nurse Anesthetist, NPI 1104617620

BRANDON SOLEY is a healthcare provider. based in Bristol, Connecticut. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 134632 (CT). The NPI Number for BRANDON SOLEY is 1104617620

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
BRANDON SOLEY
NPI
1104617620
Phone
(860) 585-3000
Address
41 BREWSTER RD
Enumeration Date
14 May 2025
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8005853000
Graduation Year
2025 (1 year ago)
PAC ID
1759881584
Group Practice PAC ID
2163763830
Professional Enrollment ID
I20250825004198
Address ID
CT060105161BR41XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

Provider Addresses for BRANDON SOLEY

  • 41 BREWSTER RD

    BRISTOL, CT 060105141

    Phone: (860) 585-3000

    Mailing address matches the actual address.

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: 2025-08-25

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
I20250825004198ICertified Registered Nurse Anesthetist (Crna)CTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06010)

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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: 2163763830View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)DC

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRANDON SOLEY?
BRANDON SOLEY — NPI 1104617620 — is the standard way to identify this listing.
Is BRANDON SOLEY still practicing?
BRANDON SOLEY is currently listed as active in the public NPI registry.
What is BRANDON SOLEY's specialty?
The listing groups BRANDON SOLEY with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for BRANDON SOLEY?
BRANDON SOLEY's geographic hint is Bristol, Connecticut in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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