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

Mr. Bradley Dorng

Individual provider Registered Nurse · NPI 1558146001

Mr. Bradley Dorng is a Certified Registered Nurse Anesthetist (CRNA) in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Northstar Anesthesia of Indiana LLC, a 129-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana and Wisconsin.

Years since qualifying
4
Licensed in
IL, IN, WI
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

2606 W 104th St
Chicago, IL 60655-1605
Phone: (773) 443-0815
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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 28294742A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 1105101-30 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 041.465731 (IL)

Record details

NPI number1558146001
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2023
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northstar Anesthesia Of Indiana Llc — 129 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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