Bryan Theodore Pearson, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

27944 Issued in IA

Practice address

411 Laurel St
Ste 3170
Des Moines, IA 50314-3017

Phone

(515) 283-0463

Fax

(515) 283-0794

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Medical Center Anesthesiologists, P.C.

  • Anesthesiology Physician
  • West Des Moines, IA
  • NPI 1073552428
  NPD (past)
• Medical Center Anesthesiologists, P.C.

  • Certified Registered Nurse Anesthetist
  • West Des Moines, IA
  • NPI 1518090562
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1295736759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "STE 3170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-283-0463",
            "fax_number": "515-283-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "STE 3170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-283-0463",
            "fax_number": "515-283-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "BRYAN",
        "middle_name": "THEODORE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "27944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073932",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peaceful Care Hospice
• John Michael Peacock, MD
• Thomas Peacock, MD
• Daniel Peal, RBT
• Amy J Pearson, PT
• Lisa Marie Pearson
• Carolyn Su-Ying Pease, M.D.
• Caitlin Siobhan Pedati
• Brenda K. Pedersen, BSOT, OTR/L, CHT
• Pediatric & Adult Allergy PC

• Anesthesiology Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Anesthesiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.

Verify at the official NPI Registry.