Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradlee Fagerberg

Individual provider Anesthesiologist Assistant · NPI 1609438316

Bradlee Fagerberg is an Anesthesiology Assistant in Trinity, Florida. Qualified in 2019, 7 years ago. Practices with Northstar Anesthesia of Florida LLC, a 44-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

9330 FL-54
Trinity, FL 34655
Phone: (727) 834-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1609438316
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJuly 2, 2019
Mailing address14598 Wake Robin Dr, Brooksville, FL 34604-1415

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northstar Anesthesia Of Florida Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Trinity