Brian Alan Perry, M.D.

Individual provider Active NPI Family Medicine Physician · Centre, AL

NPI 1295750388 · NPPES record last updated Jan 31, 2011

Key facts

NPI
1295750388
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
9288 (AL)
Practice address
401 Northwood Dr
Centre, AL 35960-1022
Phone
(256) 927-3607
Fax
(256) 927-3606
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lister Healthcare Corporation Family Medicine Past Accepting new patients
Singing River Healthcare, LLC Past
since Jul 24, 2017
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brian.perry@perrymedicalclinic.directbygreenway.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9288 AL Yes

Addresses

Primary practice location

401 Northwood Dr
Centre, AL 35960-1022

Mailing address

401 Northwood Dr
Centre, AL 35960-1022
Phone (256) 927-3607

Other identifiers

IdentifierTypeStateIssuer
009937129MedicaidAL
51010460OtherALBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 31, 2011.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1295750388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601022",
            "telephone_number": "256-927-3607",
            "fax_number": "256-927-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601022",
            "telephone_number": "256-927-3607",
            "fax_number": "256-927-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "BRIAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "9288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009937129",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51010460",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centre, AL

All providers in Centre, AL · Family Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.