Brent Joseph Speer, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

78294 Issued in GA

Practice address

3193 Howell Mill Rd NW Ste 250
Atlanta, GA 30327-2129

Phone

(404) 351-1131

Fax

(404) 351-3515

NPI assigned

Aug 25, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brentspeer@ppp.allscriptsdirect.net

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.

• Peachtree Park Pediatrics, LLP

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1699835660
  NPD

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1881028082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272129",
            "telephone_number": "404-351-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOWELL MILL RD NW STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272129",
            "telephone_number": "404-351-1131",
            "fax_number": "404-351-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEER",
        "first_name": "BRENT",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-25",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "LL36867",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "78294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech Pathology Services, Inc,
• Speech Works Speech & Language Services
• Speechcare Pediatrics, LLC (Speechcare Inspirations)
• Speechtree LLC
• Tracey Speed, RRT-RCP
• Renae Speer, CPNP
• Stephanie L Speights-Sellers, APRN
• Charlanna Speights, DNP, FNP-BC, PMHNP-B
• Boris Spektor, MD
• Irena Spektor, MD

• Pediatrics Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.