Active NPI
Paul Bryan Perry, M.D.
- Anesthesiology Physician
- Dallas, TX
National Provider Identifier
1003899113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G9297
- Practice address
- 4926 Briarwood PL
Dallas, TX 75209-2004 - Phone
- (214) 684-7898
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G9297 | TX | Primary |
Addresses
Primary practice location
4926 Briarwood PL
Dallas, TX 75209-2004
Mailing address
4926 Briarwood PL
Dallas, TX 75209-2004
Phone (214) 684-7898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120167501 | Medicaid | TX |
Other names 1
- P. Bryan Perry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110517000074 | TX | Practitioner - Anesthesiology | 1052470721 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physicians Network PLLC | Anesthesiology | Current | Accepting new patients |
Locations
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500
7777 Forest Ln
Ste B143
Dallas, TX 75230
Phone (214) 788-6969
825 W Yellowjacket Ln
Rockwall, TX 75087
Phone (972) 772-6166
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1396274676
Anesthesiology, TX
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456185600000",
"number": "1003899113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4926 BRIARWOOD PL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752092004",
"telephone_number": "214-684-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4926 BRIARWOOD PL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752092004",
"telephone_number": "214-684-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "PAUL",
"middle_name": "BRYAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2016-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G9297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120167501",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "P.",
"last_name": "PERRY",
"middle_name": "BRYAN",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.