Provider Demographics
NPI:1962532887
Name:HOOKS, BRAD ANTHONY (CRNA, NSMP-C)
Entity type:Individual
Prefix:MR
First Name:BRAD
Middle Name:ANTHONY
Last Name:HOOKS
Suffix:
Gender:M
Credentials:CRNA, NSMP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9411 DUNLEITH
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-5106
Mailing Address - Country:US
Mailing Address - Phone:334-414-3435
Mailing Address - Fax:334-269-8783
Practice Address - Street 1:6727 TAYLOR CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-7708
Practice Address - Country:US
Practice Address - Phone:334-284-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-16988207LP2900X
AL1-106988367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q64414Medicare UPIN