Individual provider Active NPI

Paul Bryan Perry, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1003899113
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G9297 Issued in TX
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

Updated by the provider on Feb 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
120167501MedicaidTX

Other names 1

  • P. Bryan Perry Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Independent Physicians Network PLLC Anesthesiology CurrentSince Nov 1, 2018 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.

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

Verify at the official NPI Registry.