BRIAN ROBERT PETERS (NPI# 1124076062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124076062 |
| Entity Type | Individual |
| Full Name | BRIAN ROBERT PETERS |
| Credential | MD |
| Practice Address |
7777 Forest Ln A-103 Dallas TX 75230-2505 |
| Practice Telephone | 9725667600 |
| Practice Fax Number | 9725666560 |
| Mailing Telephone | 9725667600 |
| Mailing Fax Number | 9725666560 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G5473 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1012398 | 05 | |
| TX | BCBS | 872112 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598203309 | Brian A Peters Jr. | Chiropractor | 1133 Macarthur Dr Ste B, Alexandria, LA 71303-3123 | 2017-02-01 |
| 1518587351 | Brian S Peters | Surgery | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2020-04-22 |
| 1457646598 | Brian Robert Peters | Dentist | 315 18th St Se, Owatonna, MN 55060-4005 | 2011-06-16 |
| 1063748614 | Brian Jay Peters | Dentist | 12501 Hymeadow Dr Ste 1a, Austin, TX 78750-1831 | 2009-11-02 |
| 1952433088 | Brian Bevier Peters | Naturopath | 509 Olive Way, Suite 803, Seattle, WA 98101-1720 | 2007-03-12 |
| 1255490637 | Brian Michael Peters | Dentist | 1941 Oak Tree Rd, Suite 301, Edison, NJ 08820-2059 | 2006-12-08 |
| 1124046461 | Brian John Peters | Dentist | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2006-07-17 |
| 1477590537 | Brian Peters | Emergency Medicine | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2006-05-31 |
| Street Address |
7777 FOREST LN A-103 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546101 | Frederick J Duffy Jr. | Plastic Surgery | 7777 Forest Ln, Ste C504, Dallas, TX 75230 | 2005-05-24 |
| 1710586870 | Dessy Santika Adont | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-10-20 |
| 1003433913 | Kasey Rehme | Speech-Language Pathologist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-26 |
| 1083230015 | Abigail Anne Plec | Physician Assistant | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-06-25 |
| 1225650500 | Minh Nguyen | Pharmacist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-10 |
| 1578184297 | Hk Anesthesia Services Pllc | Anesthesiology | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-05-05 |
| 1225657018 | Kristina Marie George | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-04-11 |
| 1376176024 | Carla Patricia Jimenez Santillan | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-02-20 |
| 1508496795 | Kafayat Oritola | Nurse Practitioner | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-16 |
| 1699315630 | Rachel Kimberly Harris | Occupational Therapist | 7777 Forest Ln, Dallas, TX 75230-2571 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942778253 | Donelson Neal Shannon | Otolaryngology | 2704 Hanover St, Dallas, TX 75225-7922 | 2018-11-05 |
| 1134527153 | Ahmad Salman Alroqi | Otolaryngology | 5657 Amesbury Dr, Apt 807, Dallas, TX 75206-3000 | 2014-12-08 |
| 1649693565 | Martin John Corsten | Otolaryngology | 4300 N Central Expy Ste 110, Dallas, TX 75206-6533 | 2014-01-29 |
| 1760728588 | Sinus Registry, Pllc | Otolaryngology | 3112 Greenbrier Dr, Dallas, TX 75225-4602 | 2012-12-26 |
| 1659682680 | Andrew T Day | Otolaryngology | Department of Otolaryngology - Head and Neck Surgery, 5323 Harry Hines Blvd., Dallas, TX 75390-9035 | 2010-06-24 |
| 1689990228 | Dylan Corey Lippert | Otolaryngology | 411 N. Washington Avenue, Suite 6400, Dallas, TX 75246 | 2010-04-07 |
| 1346444072 | Dallas Otolaryngology Associates | Otolaryngology | 7777 Forest Ln Ste A103, Dallas, TX 75230-6800 | 2007-06-14 |
| 1639226525 | Lesley French Childs | Otolaryngology | Utsw Department of Otolaryngology, 5323 Harry Hines Blvd, Dallas, TX 75390-9035 | 2007-01-04 |
| 1831295021 | Henry Maurice Carder | Otolaryngology | 8315 Walnut Hill Lane, Suite 135, Dallas, TX 75231 | 2006-09-15 |
| 1821103177 | William Monroe Crutcher | Otolaryngology | 4548 Shady Hill Dr, Dallas, TX 75229-2951 | 2006-08-20 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.