Individual provider Active NPI

Briseida Oceguera Perez, PA-C

  • Medical Physician Assistant
  • Terre Haute, IN
National Provider Identifier
1013601624
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3560 S 4TH St
Terre Haute, IN 47802-5540
Phone
(812) 235-8496
Fax
(812) 478-1540
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

3560 S 4TH St
Terre Haute, IN 47802-5540

Mailing address

3560 S 4TH St
Terre Haute, IN 47802-5540
Phone (812) 235-8496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250402000992 IN Practitioner - Physician Assistant 5991228744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HPW Center for Diabetes LLCGroup PAC ID 9537568993, 9 clinicians
Biltmore Dermatology LLCGroup PAC ID 0143593145, 4 clinicians

Practice addresses (Care Compare)

3560 S 4TH St
Terre Haute, IN 47802-5540
Phone (812) 235-8496

463 S Park Ridge Rd
Suite 101
Bloomington, IN 47401-8589
Phone (812) 235-8496

76 W Springhill Dr
Terre Haute, IN 47802-8767
Phone (812) 995-1404

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Sullivan County Community Hospital Hospital, Sullivan, IN, CCN 151327
  • Greene County General Hospital Hospital, Linton, IN, CCN 151317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Biltmore Dermatology LLC CurrentSince Oct 10, 2025 Accepting new patients
Providence Medical Group LLC CurrentSince Sep 15, 2024 Accepting new patients

Locations

463 S Park Ridge Rd
#101
Bloomington, IN 47401
Phone (812) 235-8496

76 W Springhill Dr
Terre Haute, IN 47802
Phone (812) 299-2020

3560 S 4th St
Terre Haute, IN 47802
Phone (812) 235-8496

1813 Willow St
Ste 3B
Vincennes, IN 47591
Phone 81247772461017

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBEFCA/Endpoint/HBEFCA

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1013601624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 S 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025540",
            "telephone_number": "812-235-8496",
            "fax_number": "812-478-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 S 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025540",
            "telephone_number": "812-235-8496",
            "fax_number": "812-478-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCEGUERA PEREZ",
        "first_name": "BRISEIDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.