Brian Jeffery Wiatrak, M.D.

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

License

17153 Issued in AL

Practice address

1940 Elmer J. Bissell Road
Pediatric ENT Associates
Birmingham, AL 35243

Phone

(205) 638-4949

Fax

(205) 638-4983

NPI assigned

Oct 3, 2006

Last updated

Jul 24, 2014By the provider in NPPES

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 8

Other names 1

• Brian Jeffery Wiatrak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Children's Hospital of Alabama

  dba Pediatrics West

  • Pediatrics Physician
  • Hueytown, AL
  • NPI 1104903749
  NPD (past)
• The Children's Hospital of Alabama

  dba Children's Health System

  • Children's Hospital
  • Birmingham, AL
  • NPI 1205935012
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1427143015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 COLD HARBOR DRIVE",
            "city": "BIRMINGHAM,",
            "state": "AL",
            "postal_code": "35223",
            "telephone_number": "205-951-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 ELMER J. BISSELL ROAD",
            "address_2": "PEDIATRIC ENT ASSOCIATES",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-638-4949",
            "fax_number": "205-638-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIATRAK",
        "first_name": "BRIAN",
        "middle_name": "JEFFERY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "AL",
            "license": "17153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SYSTEMS",
            "identifier": "25457",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL NPI",
            "identifier": "1205935012",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "2322124",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529903800",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1010005",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS HOSPITAL",
            "identifier": "63030730626",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS SOUTH",
            "identifier": "63030730629",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000045535",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "WIATRAK",
            "middle_name": "JEFFERY",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dorothy A Whittington, WHNP
• Margaret Whittle
• Laura Whitworth, PH.D.
• Terri-John Whitworth, PT, DPT
• Ronald C Whorton
• Neda Wick
• Jason Alan Wicker, M.D., PH.D.
• Kim Wideman
• Alissa Anne Wiegand, MS, MPT, ATC
• Gayle Suk Wiesemann

• Pediatric Otolaryngology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatric Otolaryngology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.