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

Storm Bradley Vaughn, AA

Individual provider Anesthesiologist Assistant · NPI 1780179333

Storm Bradley Vaughn, AA is an Anesthesiology Assistant in Fort Wayne, Indiana. Graduated from Emory University School of Medicine in 2018, 8 years ago. Practices with Miami Anesthesia Services LLC, a 168-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
8
Trained at
Emory University School of Medicine
Licensed in
FL, IN
In the registry since
2018
Specialties on file
3

Practice location Address checks out

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone: (260) 425-6030
Fax: (260) 425-6028
Show map & directions

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

Additional practice locations (2)

  • 1300 Miccosukee Rd, Tallahassee, FL 32308-5037 — (850) 431-1155
  • 1300 Miccosukee Rd, Tallahassee, FL 32308-5037 — (850) 431-1155

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA484 (FL)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 75000046A (IN)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1780179333
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESOctober 31, 2025
Certification dateOctober 31, 2025
Mailing address3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Miami Anesthesia Services Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Wayne