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

Mr. Brandon Wiley, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1003107749

Mr. Brandon Wiley, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Texarkana, Texas. Qualified in 2011, 15 years ago. Practices with Orthomed Staffing LLC, a 373-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
15
Licensed in
AR, TX
In the registry since
2011
Specialties on file
2
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

4100 Summerhill Rd
Texarkana, TX 75503-2732
Phone: (903) 735-9802
Fax: (903) 735-9806
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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 818273 (TX)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence R76881 (AR)

Record details

NPI number1003107749
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 28, 2011
Last updated in NPPESJuly 26, 2014
Mailing address4100 Summerhill Rd, Texarkana, TX 75503-2732

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Orthomed Staffing Llc — 373 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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