DR. JACK BRYANT ANON M.D. NPI 1104877265

NPI Information

  • NPI: 1104877265
  • Provider Name: DR. JACK BRYANT ANON, M.D.
  • Classification: Otolaryngology - 207YX0602X
  • Specialization: Otolaryngic Allergy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1645 W 8TH ST
    ERIE, PA
    ZIP 16505
  • Phone: (814) 864-9994

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NPI Details

DR. Jack Bryant Anon, M.D. is an otolaryngic allergy otolaryngology in Erie, PA with 45 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. DR. Jack Bryant Anon, M.D. NPI is 1104877265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:1981

The provider's business location address is:

1645 W 8TH ST
ERIE, PA
ZIP 16505-007
Phone: (814) 864-9994
Fax: (814) 866-2655

The NPI 1104877265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Test to assess middle ear function (HCPCS:92567)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • X-ray of paranasal sinus, minimum of 3 views (HCPCS:70220)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Test for hearing various pitches using earphone (HCPCS:92552)
  • Test for ability to detect and repeat spoken words with speech recognition (HCPCS:92556)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 5/13/2006 and was last updated on 4/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0602XOtolaryngologyOtolaryngic AllergyMD035571EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10010476830001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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