MR. BRIAN EVERETT PEACOCK (NPI# 1689965105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689965105 |
| Entity Type | Individual |
| Full Name | MR. BRIAN EVERETT PEACOCK |
| Practice Address |
5301 Bosque Blvd Suite 330 Waco TX 76710-4458 |
| Practice Telephone | 2547511131 |
| Practice Fax Number | 2547511977 |
| Mailing Telephone | 2547511131 |
| Mailing Fax Number | 2547511977 |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194242230 | Brian Charles Peacock | Student in an Organized Health Care Education/Training Program | 1918 University Ave Ste 2b, Berkeley, CA 94704-3264 | 2017-08-29 |
| 1437460623 | Brian Barkley Peacock | Physician Assistant | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2010-06-23 |
| Street Address |
5301 BOSQUE BLVD SUITE 330 |
| City | WACO |
| State | TX |
| Zip Code | 76710-4458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336109370 | John Scott Westmoreland | Hearing Instrument Specialist | 5301 Bosque Blvd, Ste. 100, Waco, TX 76710-4458 | 2006-03-24 |
| 1467613133 | Rachel Weeaks | Hearing Instrument Specialist | 5301 Bosque Blvd, Suite 100, Waco, TX 76710-4458 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160315 | Kaili Kennedy | Technician, Other | 66 Daughtrey Ave Apt 516, Waco, TX 76706-1677 | 2020-09-24 |
| 1164904561 | Felicity Frost | Technician, Other | 66 Daughtrey Ave Apt 1223, Waco, TX 76706-1681 | 2018-08-31 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1760828743 | Zachary Ashton Springfield | Technician, Other | 2000 W Loop 340, Suite 105, Waco, TX 76712-6860 | 2013-05-16 |
| 1174816748 | Lynn Springfield | Technician, Other | 6807 Woodway Dr, Waco, TX 76712-6146 | 2011-05-16 |
| 1922399443 | Randy Lowrey | Technician, Other | 5301 Bosque Blvd Ste 330, Waco, TX 76710-4401 | 2011-05-02 |
| 1437270048 | Total Sleep Contract Services | Technician, Other | 1000 W State Highway 6 Ste 140, Waco, TX 76712-3787 | 2007-04-02 |
| 1043303555 | Sonya Mae Jugert | Technician, Other | 209 Speight Ave #214, Waco, TX 76706 | 2006-10-02 |
| 1891071817 | Kyle Jay Cox | Technician, Other | 6807 Woodway Dr, B, Waco, TX 76712-6146 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120083 | Pablo Gonzales IIi | Technician, Other | 10114 Stella Link Rd Ste A-2, Houston, TX 77025-5300 | 2020-10-04 |
| 1194338673 | Porscha Williams | Technician, Other | 2520 Echo Point Dr, Fort Worth, TX 76123-1136 | 2020-08-25 |
| 1245857580 | Tara Latonya Cooper | Technician, Other | 1743 Troup Hwy, Tyler, TX 75701-5869 | 2020-07-02 |
| 1295351914 | Richard Allen Majors | Technician, Other | 6429 Green Ridge Dr, Watauga, TX 76148-1414 | 2020-06-18 |
| 1740824804 | Sara Wolfe | Technician, Other | 4245 N Central Expy Ste 450, Dallas, TX 75205-4530 | 2019-11-01 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
| 1518517762 | Clayton Ernest Robertson | Technician, Other | 5555 N Lamar Blvd Ste D113, Austin, TX 78751-1075 | 2019-09-18 |
| 1013561778 | Joslyn Love | Technician, Other | 1228 Timber Ln, Frisco, TX 75036-1743 | 2019-07-30 |
| 1497309165 | Erin Elizabeth Daugherty | Technician, Other | 5702 Timbergate Dr Apt 224, Corpus Christi, TX 78414-3180 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
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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.