Brady James Flores Banares, CRNA
Nurse Anesthetist, Certified Registered in Marietta, GA. Individual provider (NPI-1).
Details
- NPI
- 1134424948
- Entity type
- Individual (NPI-1)
- Name
- Brady James Flores Banares
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2011
- Certification date
- Nov 20, 2022
- Last updated
- Nov 20, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN181296 | GA | Yes |
Practice location
677 Church St NeMarietta, GA 30060-1101
Phone 770-794-0477 · Fax 770-794-3108
Mailing address
3155 N Point PkwyBuilding F, Suite 100
Alpharetta, GA 30005-5481
Phone 770-645-9181 · Fax 770-645-8455
Other practice locations
Atlanta, GA 30342-1606
Phone 770-645-9181 · Fax 770-645-8455
Douglasville, GA 30134-2272
Phone 770-794-0477 · Fax 770-794-3108
Hiram, GA 30141-3749
Phone 770-794-0477 · Fax 770-794-3108
Marietta, GA 30067-8605
Phone 770-794-0477 · Fax 770-794-3108
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 61 Certified Registered Nurse Anesthetist providers in Marietta · All 9,180 providers in Marietta
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