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

Cody Lee Brack, RN

Individual provider Certified Registered Nurse Anesthetist · NPI 1669062758

Cody Lee Brack, RN is a Certified Registered Nurse Anesthetist (CRNA) in Morgantown, West Virginia. Practices with West Virginia University Medical Corporation, a 1,981-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Licensed in
WV
In the registry since
2021
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1 Medical Center Dr
Morgantown, WV 26506-1200
Phone: (304) 598-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Vb 360a 3500 Victoria Street, Pittsburgh, PA 15261-0001 — (301) 501-2683

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 117089 (WV)

Record details

NPI number1669062758
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 22, 2021
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address4820 Blackberry Way, Pittsburgh, PA 15201-2714

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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