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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lister Healthcare Corporation | Family Medicine | Past | Accepting new patients |
| Singing River Healthcare, LLC | Past |
Accepting new patients |
Interoperability endpoints
- brian.perry@perrymedicalclinic.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009937129 | Medicaid | AL | |
| 51010460 | Other | AL | BLUE CROSS BLUE SHIELD |
NPI Registry JSON
{
"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
- Emily Beth Oliver
- Tonya S Orndorf
- P.H.S. of Alabama LLC
- Piper Pearce
- Perry Medical Clinic, P. C.
- William Barton Perry
- Dustin James Plowman
- Prohealth of Northeast Alabama, LLC
- Pruitt & Eberhart, DMD, PC
- Michael A Pruitt
All providers in Centre, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.