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

Mr. Justin Slade Bridwell, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1407814924

Mr. Justin Slade Bridwell, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Rogers, Arkansas. Qualified in 2004, 22 years ago. Practices with Pinnacle Anesthesia Group PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
22
Licensed in
AR
In the registry since
2006
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

1200 W Walnut St
Rogers, AR 72756-3546
Phone: (479) 636-0200
Fax: (479) 936-2912
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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 CO1557 (AR)

Record details

NPI number1407814924
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESDecember 6, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Pinnacle Anesthesia Group Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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