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

Mr. Bradley Wayne Fraley

Individual provider Certified Registered Nurse Anesthetist · NPI 1619163839

Mr. Bradley Wayne Fraley is a Certified Registered Nurse Anesthetist (CRNA) in Summersville, West Virginia. Qualified in 2007, 19 years ago. Practices with Triangle Anesthesia Group, PSC, a 78-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
19
Licensed in
WV
In the registry since
2007

Practice location Address checks out

400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone: (304) 872-8617
Fax: (304) 872-2080
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 60153 (WV)

Record details

NPI number1619163839
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2007
Last updated in NPPESMarch 16, 2017
Mailing address1402 Runa Rd, Mount Nebo, WV 26679-9350

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Triangle Anesthesia Group, Psc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Summersville