Individual provider Active NPI

Brian P Schilperoort, M.D.

  • Surgery Physician
  • Prescott, AZ
National Provider Identifier
1750389276
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25877 Issued in AZ
Practice address
2001 Excellence Way
Suite 200
Prescott, AZ 86301-8410
Phone
(928) 445-3055
Fax
(928) 445-4732
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25877 AZ Primary

Addresses

Primary practice location

2001 Excellence Way
Suite 200
Prescott, AZ 86301-8410

Mailing address

2001 Excellence Way
Suite 200
Prescott, AZ 86301-8410
Phone (928) 445-3055

Other identifiers 1

IdentifierTypeStateIssuer
401612MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25877AZMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1750389276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 EXCELLENCE WAY",
            "address_2": "SUITE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018410",
            "telephone_number": "928-445-3055",
            "fax_number": "928-445-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 EXCELLENCE WAY",
            "address_2": "SUITE 200",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018410",
            "telephone_number": "928-445-3055",
            "fax_number": "928-445-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILPEROORT",
        "first_name": "BRIAN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "25877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401612",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.