Active NPI
Bryan Timothy Pernes, AA-S
- Anesthesiologist Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 4014
- Practice address
- 1500 Citywest Blvd Ste 300
Houston, TX 77042-2549 - Phone
- (713) 620-4000
- Fax
- (713) 458-4229
- NPI assigned
- Mar 31, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA338 | FL | |
| Anesthesiologist Assistant | 367H00000X | 2016017066 | MO | |
| Anesthesiologist Assistant | 367H00000X | 4014 | TX | Primary |
Addresses
Primary practice location
1500 Citywest Blvd Ste 300
Houston, TX 77042-2549
Mailing address
PO Box 650865
Dallas, TX 75265-0865
Phone (972) 233-1999
Other practice location 1
8900 N Kendall Dr
Dept. of Anesthesiology
Miami, FL 33176-2118
Phone (786) 596-3621
Other practice location 2
8900 N Kendall Dr
Dept. of Anesthesiology
Miami, FL 33176-2118
Phone (786) 596-3621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
Hospital & facility affiliations
- Grand Strand Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts, Associate of Applied Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58 | SC | MD | Marriage & Family Therapist |
| AA338 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beach Anesthesia, LLC | Current | Accepting new patients | |
| Atlantic Coast Anesthesia Services P.C. | Current | Accepting new patients |
Locations
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1972966596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650865",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650865",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422549",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4229"
}
],
"practiceLocations": [
{
"address_1": "8900 N Kendall Dr",
"address_2": "Dept. of Anesthesiology",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331762118",
"country_code": "US",
"telephone_number": "786-596-3621",
"fax_number": "786-596-2841",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8900 N Kendall Dr",
"address_2": "Dept. of Anesthesiology",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331762118",
"country_code": "US",
"telephone_number": "786-596-3621",
"fax_number": "786-596-2841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERNES",
"first_name": "BRYAN",
"middle_name": "TIMOTHY",
"credential": "AA-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA338",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "MO",
"license": "2016017066",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "TX",
"license": "4014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.