IndividualActive
Richard Todd, CRNA
NPI 1902097124 · Certified Registered Nurse Anesthetist · Brookings, OR
Provider details
- NPI number
- 1902097124
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
648 Chetco Avenue
Brookings, OR 97415
Phone: (541) 247-0852
Fax: (503) 650-6913
Street-level locationGet directions
Mailing address
Po Box 249
Gladstone, OR 97027-0249
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2007-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.