BRADLEY JOSEPH BLAKEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1285621151

BRADLEY JOSEPH BLAKEY (CRNA) is a healthcare provider. based in Carbondale, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209004624 (IL). The NPI Number for BRADLEY JOSEPH BLAKEY (CRNA) is 1285621151

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY JOSEPH BLAKEY (CRNA)
NPI
1285621151
Phone
(618) 457-5200
Address
PO BOX 3988
Enumeration Date
5 October 2005
Last Update Date
14 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189422171
Graduation Year
2002 (24 years ago)
PAC ID
1557333689
Group Practice PAC ID
4688893878
Professional Enrollment ID
I20040810000528
Address ID
IL629483631HE201XXSTXX400

Contacts

Secure Messaging
bblakey14150@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for BRADLEY JOSEPH BLAKEY (CRNA)

  • Carbondale Post Office, Main Street, Carbondale, Osage County, Kansas, 66414, United States

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • 405 W JACKSON STREET

    SIH MEDICAL GROUP ANESTHESIOLOGY

    CARBONDALE, IL 62901

    Phone: (618) 457-5200

    Fax: (618) 529-0449

    Type: Mailing

  • Herrin Hospital, 201, South 14th Street, Herrin, Williamson County, Illinois, 62948, United States

    HERRIN, IL 629483631

    Phone: (618) 942-2171

    Fax: (618) 351-4919

    Type: Location

  • 2 S Hospital Dr

    Murphysboro, IL 629663333

    Phone: (618) 684-3156

    Fax: (618) 529-0529

    Type: Location

  • 405 W Jackson St

    Carbondale, IL 629011462

    Phone: (618) 549-0721

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $39.

Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($39).

Total Amount

$39

General + Research + Ownership

Payments

2

Total payment records

General Amount

$39

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$39
View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-10

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
I20040810000528ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00910Anesthesia for other procedure on urinary system through urethra3333$0
00811Anesthesia for other procedure on large bowel using an endoscope2727$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2424$0
00813Anesthesia for procedure on small and large bowel using an endoscope1818$0
01638Anesthesia for open or endoscopic total shoulder joint replacement1616$0
View full utilization report →

Insurance plans in this area (ZIP 62902)

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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: 4688893878View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementWI
Certified Registered Nurse Anesthetist (Crna)MI
-IL
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
-IL
Anesthesiology, Interventional Pain Management, Pain ManagementIL

Reviews

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Frequently asked questions

Can I use this page to confirm BRADLEY JOSEPH BLAKEY (CRNA)'s NPI?
Yes. BRADLEY JOSEPH BLAKEY (CRNA) is listed with NPI 1285621151 in the public NPI dataset.
Does CMS list BRADLEY JOSEPH BLAKEY (CRNA) as active?
Yes — BRADLEY JOSEPH BLAKEY (CRNA) is active in the NPI listing used on this page.
What is BRADLEY JOSEPH BLAKEY (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for BRADLEY JOSEPH BLAKEY (CRNA) here. Clinical services aligned with this taxonomy classification.
What area does BRADLEY JOSEPH BLAKEY (CRNA) serve?
BRADLEY JOSEPH BLAKEY (CRNA)'s listing highlights Carbondale, Illinois; more addresses can appear in NPPES.
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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