Individual provider Active NPI

Brian Phillip Perry, M.D.

  • Otolaryngology Physician
  • McAllen, TX
National Provider Identifier
1619915832
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
K8419 Issued in TX
Practice address
1100 E Dove Ave Ste 402
McAllen, TX 78504-4684
Phone
(956) 362-8125
Fax
(956) 362-8135
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X K8419 TX
Otolaryngology Physician 207Y00000X K8419 TX Primary

Addresses

Primary practice location

1100 E Dove Ave Ste 402
McAllen, TX 78504-4684

Mailing address

PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-8125

Other practice location 1

903 W Martin St
San Antonio, TX 78207-0903
Phone (210) 450-9000

Other identifiers 4

IdentifierTypeStateIssuer
143092801MedicaidTX
1053712-07MedicaidTX
105371205MedicaidTX
1619915832MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000870 TX Practitioner - OtolaryngologyPractitioner - Other (Physician) 4688779986 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Medical FoundationGroup PAC ID 1153409867, 178 clinicians

Practice addresses (Care Compare)

1100 E Dove Ave
Suite 402
McAllen, TX 78504-4684
Phone (956) 362-8125

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.1 of 100Reported as group
Quality
86
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K8419TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley Current Accepting new patients
Ear Medical Group PA Otology & Neurotology CurrentSince Mar 7, 2001 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Renaissance Medical Foundation Otolaryngology CurrentSince Jan 1, 2024 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

3804 S Jackson Rd
Ste 1
Edinburg, TX 78539
Phone (956) 296-3001

615 Camelot Dr
Harlingen, TX 78550
Phone (956) 296-2701

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

1100 E Dove Ave
Ste 402
McAllen, TX 78504
Phone (956) 362-2490

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

21 Spurs Ln
Ste 245
San Antonio, TX 78240
Phone (210) 487-7463

903 W Martin St
San Antonio, TX 78207
Phone (210) 358-3400

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

21 Spurs Ln
Ste 100
San Antonio, TX 78240
Phone (210) 614-0187

505 Angelita Dr
Ste 14
Weslaco, TX 78599
Phone (956) 362-3720

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHGACD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1619915832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785771614",
            "telephone_number": "956-362-8125",
            "fax_number": "956-362-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E DOVE AVE STE 402",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044684",
            "telephone_number": "956-362-8125",
            "fax_number": "956-362-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 W Martin St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782070903",
            "country_code": "US",
            "telephone_number": "210-450-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "BRIAN",
        "middle_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "TX",
            "license": "K8419",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "K8419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143092801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053712-07",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105371205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619915832",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.