Active NPI
Brent E. Walker, M.D.,P.C.
- Ophthalmology Physician
- Erie, PA
National Provider Identifier
1316075781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD027222E
- Legal business name
- BRENT E. WALKER, M.D.,P.C.
- Practice address
- 1827 W 38TH Street
Erie, PA 16508-2168 - Phone
- (814) 864-4078
- Fax
- (814) 868-0011
- NPI assigned
- Feb 28, 2007
- Last updated
- Dec 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brent Edwin Walker, M.D.
- Title
- President
- Phone
- (814) 864-4078
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD027222E | PA | Primary |
Addresses
Primary practice location
1827 W 38TH Street
Erie, PA 16508-2168
Mailing address
1827 W 38TH St
Erie, PA 16508-2168
Phone (814) 864-4078
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10635700001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1827 W 38th St
Erie, PA 16508
Phone (814) 864-4048
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Erie, PA
- NPI 1801887971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197504000000",
"number": "1316075781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 W 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082168",
"telephone_number": "814-864-4078",
"fax_number": "814-868-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 W 38TH STREET",
"city": "ERIE",
"state": "PA",
"postal_code": "165082168",
"telephone_number": "814-864-4078",
"fax_number": "814-868-0011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENT E. WALKER, M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2007-12-13",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "EDWIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-864-4078",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD027222E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10635700001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.