BRIAN T. PERKOVICH MD – NPI #1558381632
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

BRIAN PERKOVICH is an ophthalmologist located in GREEN BAY, WI. NPPES has assigned the NPI number 1558381632 to BRIAN PERKOVICH on July 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 4 years ago on Apr 07, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIAN PERKOVICH below.

NPI Profile for
BRIAN T. PERKOVICH

NPI Number
1558381632
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRIAN T. PERKOVICH
Credentials
MD
Primary location
2253 W MASON ST STE 100
GREEN BAY, WI 54303-4706
Phone: (920) 327-7000 Fax: (920) 327-7005
Mailing address
164 N BROADWAY
GREEN BAY, WI 54303-2728
Phone: (920) 490-9046 Fax: (920) 327-7005
Sole Proprietor
No
Updated
Certification Date
Apr 07, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRIAN PERKOVICH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI31603100
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
WI 30965
207W00000X
- Ophthalmology
WI 30965

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2253 W MASON ST STE 100,
GREEN BAY, WI 77025-1669