Individual provider Active NPI

Brian Scott Lau, AP DOM LMT

  • Acupuncturist
  • Temple Terrace, FL
National Provider Identifier
1194973834
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
3036 Issued in FL
Practice address
10927 N 56TH St
Temple Terrace, FL 33617-3000
Phone
(813) 766-1319
Fax
(888) 440-0629
NPI assigned
Sep 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA30879 FL
Acupuncturist 171100000X 3036 FL Primary

Addresses

Primary practice location

10927 N 56TH St
Temple Terrace, FL 33617-3000

Mailing address

9613 N 55TH St
Temple Terrace, FL 33617-4723
Phone (813) 766-1319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3036FLMDAcupuncturist
MA30879FLMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Balance, Inc. Acupuncturist Past Accepting new patients

Organizations & group practices 1

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": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1194973834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 N 55TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336174723",
            "telephone_number": "813-766-1319",
            "fax_number": "888-440-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10927 N 56TH ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173000",
            "telephone_number": "813-766-1319",
            "fax_number": "888-440-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "AP DOM LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-06",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA30879",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "3036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.