Active NPI
Brian Nicholas Parks, D.O.
- Pain Medicine (Anesthesiology) Physician
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- Q6891
- Practice address
- 115 Medical Dr Ste 208
Victoria, TX 77904-3106 - Phone
- (361) 574-1137
- Fax
- (361) 574-1186
- NPI assigned
- Apr 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036141626 | IL | |
| Internal Medicine Physician | 207R00000X | L1761511 | MI | |
| Interventional Pain Medicine Physician | 208VP0014X | 5699 | OK | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Q6891 | TX | Primary |
Addresses
Primary practice location
115 Medical Dr Ste 208
Victoria, TX 77904-3106
Mailing address
115 Medical Dr Ste 208
Victoria, TX 77904-3106
Phone (361) 574-1137
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brian.parks.1@1902.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Medical Dr
Victoria, TX 77904-3102
Phone (361) 579-0043
Hospital & facility affiliations
- De Tar Hospital Navarro
- Cuero Regional Hospital
- Citizens Medical Center
- Lavaca Medical Center
- Yoakum Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036141626 | IL | MD | Pain Medicine (Anesthesiology) Physician |
| Q6891 | TX | MD | Pain Medicine (Anesthesiology) Physician |
| L1761511 | MI | MD | Internal Medicine Physician |
| 5699 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Internal Medicine | Current | Accepting new patients |
| Anesthesia Pain Services LLC | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Regional Employee Assistance Program Inc | Pain Medicine | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Interventional Pain Medicine | Past | Accepting new patients |
Locations
1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311
1505 Eastland Dr
Bloomington, IL 61701
Phone (309) 663-2100
646 W Pershing Rd
Decatur, IL 62526
Phone (217) 875-0300
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900
2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532
101 Medical Dr
Victoria, TX 77904
Phone (361) 573-6100
2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
6404 Nursery Dr
Ste 300
Victoria, TX 77904
Phone (361) 570-8311
115 Medical Dr
Ste 208
Victoria, TX 77904
Phone (361) 573-7900
1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321
Interoperability endpoints
- bparks719457@directa.mercy.net
- brian.parks.1@1902.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Corsicana, TX
- NPI 1649232984
Internal Medicine
-
- Anesthesiology Physician
- Streator, IL
- NPI 1790075489
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
-
- Internal Medicine Physician
- Victoria, TX
- NPI 1215999511
Pain Medicine
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
Interventional Pain Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Rural Acute Care Hospital
- Cuero, TX
- NPI 1437148020
-
- Critical Access Hospital
- Hallettsville, TX
- NPI 1992767511
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
-
- Critical Access Hospital
- Yoakum, TX
- NPI 1881697878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1376869396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MEDICAL DR STE 208",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043106",
"telephone_number": "361-574-1137",
"fax_number": "361-574-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MEDICAL DR STE 208",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043106",
"telephone_number": "361-574-1137",
"fax_number": "361-574-1186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKS",
"first_name": "BRIAN",
"middle_name": "NICHOLAS",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "IL",
"license": "036141626",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "L1761511",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OK",
"license": "5699",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "Q6891",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "brian.parks.1@1902.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "115 Medical Dr Ste 208",
"city": "Victoria",
"state": "TX",
"country_code": "US",
"postal_code": "779043106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.