IndividualActive
Bradley Blakey, CRNA
NPI 1285621151 · Certified Registered Nurse Anesthetist · Herrin, IL
Provider details
- NPI number
- 1285621151
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 209004624 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
201 S 14th St
Herrin, IL 62948-3631
Phone: (618) 942-2171
Fax: (618) 351-4919
Approximate (ZIP-level) locationGet directions
Mailing address
405 W Jackson Street
Carbondale, IL 62901
Additional practice locations (2)
- 405 W Jackson StCarbondale, IL 62901-1462Phone: (618) 549-0721
- 2 S Hospital DrMurphysboro, IL 62966-3333Phone: (618) 684-3156Fax: (618) 529-0529
Registry dates
- Enumerated
- 2005-10-05
- Last updated
- 2021-05-14
- Certified
- 2021-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.