Provider Demographics
NPI:1437233087
Name:BRAME, GEORGE FREDERICK II (CRNA)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:FREDERICK
Last Name:BRAME
Suffix:II
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4171 HEMLOCK COVE LANE
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:VA
Mailing Address - Zip Code:24301-6996
Mailing Address - Country:US
Mailing Address - Phone:540-674-4430
Mailing Address - Fax:
Practice Address - Street 1:2400 LEE HIGHWAY
Practice Address - Street 2:PULASKI COMMUNITY HOSPITAL
Practice Address - City:PULASKI
Practice Address - State:VA
Practice Address - Zip Code:24301
Practice Address - Country:US
Practice Address - Phone:540-994-8100
Practice Address - Fax:540-994-8494
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024073635367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAR82252Medicare UPIN