BRIAN THOMAS SCULLY (NPI# 1841209368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841209368 |
| Entity Type | Individual |
| Full Name | BRIAN THOMAS SCULLY |
| Credential | MD |
| Practice Address |
3841 Piper Street Suite T100 Anchorage AK 99508 |
| Mailing Address |
Po Box 200149 Anchorage AK 99520-0149 |
| Practice Telephone | 9075613211 |
| Practice Fax Number | 9075627547 |
| Mailing Telephone | 9075613211 |
| Mailing Fax Number | 9075627547 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2013-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
5859 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | RAILROAD MEDICARE | P00341374 | 01 |
| AK | 1016005 | 05 | |
| AK | UPIN REGISTRY ERROR - UPIN LISTED AS I59556 | I59556 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639110430 | Brian C Scully | Physical Therapist | 10321 Katy Frwy, Ste D-2, Houston, TX 77024 | 2006-06-10 |
| 1437381175 | Brian M Scully | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-13 |
| 1992873079 | Brian Edward Scully | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2006-11-30 |
| Street Address |
3841 PIPER STREET SUITE T100 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710977822 | Laura M Moore | Allergy & Immunology | 3841 Piper Street, Suite T4-054, Anchorage, AK 99508 | 2005-10-28 |
| 1659623916 | Emily A Foster | Physician Assistant | 3841 Piper Street, Suite T4-054, Anchorage, AK 99508 | 2012-10-11 |
| 1902109879 | Paula Louise Baker | Nurse Practitioner | 3841 Piper Street, Suite T4-054, Anchorage, AK 99508 | 2010-12-14 |
| 1407162290 | Katrina Eleanor Vandyck | Registered Nurse | 3841 Piper Street, Ste T4-054, Anchorage, AK 99508 | 2010-08-31 |
| 1447451737 | Alyeska Family Medicine Inc | General Practice | 3841 Piper Street, Suite T3162, Anchorage, AK 99508 | 2007-05-31 |
| 1437292935 | Alaska Ear Nose & Throat, Inc | Otolaryngology | 3841 Piper Street, Ste. T4-348, Anchorage, AK 99508 | 2007-02-14 |
| 1689723116 | Michael Leon Pomo | Family Medicine | 3841 Piper Street, Suite T3-162, Anchorage, AK 99508-0000 | 2007-01-10 |
| 1366553273 | Teresa A Neeno | Allergy & Immunology | 3841 Piper Street, Suite 74-054, Anchorage, AK 99508 | 2006-08-31 |
| 1083725899 | David A Hemry | Allergy & Immunology | 3841 Piper Street, Suite T4-054, Anchorage, AK 99508 | 2006-08-31 |
| 1912011982 | Margaret R Johnson | Nurse Practitioner | 3841 Piper Street, Suite T100, Anchorage, AK 99508 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447275813 | James A Baldauf | Internal Medicine | 3841piper Street, Suite T100, Anchorage, AK 99508 | 2006-07-13 |
| 1225060684 | Christopher Alki Michaeles | Internal Medicine | 4048 Laurel St Ste 202, Anchorage, AK 99508 | 2006-07-07 |
| 1093070138 | Saaransh Rakesh Desai | Internal Medicine | 4315 Diplomacy Drive, Department of Cardiology, Anchorage, AK 99508 | 2012-07-04 |
| 1194052944 | Gene R Quinn | Internal Medicine | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2009-11-13 |
| 1023209459 | David A Brauner | Internal Medicine | 3260 Providence Dr, Suite 321, Anchorage, AK 99508-4661 | 2007-08-09 |
| 1770664898 | Matthew W Corbett | Internal Medicine | 3841 Piper St, Suite T100, Anchorage, AK 99508-4624 | 2006-10-17 |
| 1053491019 | Carson S Webb | Internal Medicine | 3841 Piper St Ste T100, Anchorage, AK 99508-4674 | 2006-10-16 |
| 1891704409 | Christopher Kent Dyke | Internal Medicine | 3841 Piper Street, Suite T100, Anchorage, AK 99508 | 2006-08-05 |
| 1235144775 | Colleen M Coughlin | Internal Medicine | 3340 Providence Dr, #466, Anchorage, AK 99508-4616 | 2006-07-31 |
| 1083635742 | Thomas K Kramer | Internal Medicine | 3841 Piper Street, Suite T100, Anchorage, AK 99508 | 2006-07-21 |
| Find all providers in ANCHORAGE | ||||
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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.