DR. BRIAN JEFFERY WIATRAK M.D. NPI 1427143015

NPI Information

NPI: 1427143015
Provider Name: DR. BRIAN JEFFERY WIATRAK, M.D.
Classification: Otolaryngology - 207YP0228X
Entity Type: Individual

Specialization: Pediatric Otolaryngology

Address:
1940 ELMER J. BISSELL ROAD
PEDIATRIC ENT ASSOCIATES
BIRMINGHAM, AL
ZIP 35243
Phone: (205) 638-4949
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DR. Brian Jeffery Wiatrak, M.D. is a pediatric otolaryngology otolaryngology in Birmingham, AL. The provider is a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. DR. Brian Jeffery Wiatrak, M.D. NPI is 1427143015. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1940 ELMER J. BISSELL ROAD
PEDIATRIC ENT ASSOCIATES
BIRMINGHAM, AL
ZIP 35243
Phone: (205) 638-4949
Fax: (205) 638-4983

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/24/2014.

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
1	207YP0228X	Otolaryngology	Pediatric Otolaryngology	17153	ALABAMA	Yes

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
1	1205935012	OTHER	ALABAMA	HOSPITAL NPI
2	000045535	MEDICAID	ALABAMA
3	529903800	MEDICAID	ALABAMA
4	25457	OTHER	ALABAMA	SOUTHERN HEALTH SYSTEMS
5	63030730629	OTHER	ALABAMA	CHILDRENS SOUTH
6	F00432	MEDICARE UPIN	ALABAMA
7	000051710	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA	CHILDRENS SOUTH LOCATION
8	529903810	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA	CHILDRENS SOUTH LOCATION
9	51051710	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA	CHILDREN'S SOUTH LOCATION
10	51045532	MEDICARE ID-TYPE UNSPECIFIED	ALABAMA	CHS LOCATION
11	1010005	OTHER	ALABAMA	UNITED HEALTHCARE
12	63030730626	OTHER	ALABAMA	CHILDRENS HOSPITAL
13	2322124	OTHER	ALABAMA	CIGNA HEALTH CARE

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: 11/14/2023

NPI Synchronization or Removal

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