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

Brian Wayne Church, CRNA

Individual provider Registered Nurse · NPI 1134482029

Brian Wayne Church, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jacksonville, Florida. Qualified in 2012, 14 years ago. Practices with Dayton Anesthesia and Pain Services LLC, a 223-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
14
Licensed in
FL, OH
In the registry since
2012
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4035 Southpoint Blvd
Jacksonville, FL 32216-0949
Phone: (904) 507-6077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 405 W Grand Ave, Dayton, OH 45405-4720 — (561) 623-2021

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11041227 (FL)
Registered Nurse Taxonomy 163W00000X · Licence RN.320250-COA1 (OH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence COA.13948-NA (OH)

Record details

NPI number1134482029
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 17, 2012
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Dayton Anesthesia And Pain Services Llc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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