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

Bryant Lewis Peterson, CRNA

Individual provider Registered Nurse · NPI 1174794127

Bryant Lewis Peterson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Salt Lake City, Utah. Qualified in 2008, 18 years ago. Practices with Western Anesthesia Associates LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
18
Licensed in
ID, UT
In the registry since
2008
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

8TH Ave C St
Salt Lake City, UT 84143-0001
Phone: (801) 408-3350
Fax: (770) 701-6675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 5252922-4406 (UT)
Registered Nurse Taxonomy 163W00000X · Licence N37726 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RNA-717 (ID)

Record details

NPI number1174794127
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 18, 2008
Last updated in NPPESOctober 19, 2022
Certification dateOctober 19, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Western Anesthesia Associates Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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