Dr. Brian Jeffery Wiatrak
Pediatric Otolaryngology
1940 Elmer J. Bissell Road Pediatric Ent Associates
Birmingham
, Alabama 35243
Dr. Brian Jeffery Wiatrak
Pediatric Otolaryngology
1940 Elmer J. Bissell Road Pediatric Ent Associates
Birmingham
, Alabama 35243
(205) 951-5488
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Brian Jeffery Wiatrak
- 4931 Cold Harbor Drive
- Birmingham,, AL
- Zip : 35223
- Phone : (205) 951-5488
Second Address
- Dr. Brian Jeffery Wiatrak
- 1940 Elmer J. Bissell Road Pediatric Ent Associates
- Birmingham, AL
- Zip : 35243
- Fax : (205) 638-4983
- Phone : (205) 638-4949
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | 17153 | AL |
National Provider Identifier
| NPI | 1427143015 |
|---|---|
| Provider Name | Dr. Brian Jeffery Wiatrak |
| First Address | Birmingham,, AL 35223 |
| Second Address | Birmingham, AL 35243 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 24/07/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000045535 | (05) | AL |
| 1010005 | UNITED HEALTHCARE (01) | AL |
| 1205935012 | HOSPITAL NPI (01) | AL |
| 2322124 | CIGNA HEALTH CARE (01) | AL |
| 25457 | SOUTHERN HEALTH SYSTEMS (01) | AL |
| 529903800 | (05) | AL |
| 63030730626 | CHILDRENS HOSPITAL (01) | AL |
| 63030730629 | CHILDRENS SOUTH (01) | AL |
| F00432 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.