BRIAN JACOB WELCH (NPI# 1467710269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467710269 |
| Entity Type | Individual |
| Full Name | BRIAN JACOB WELCH |
| Practice Address |
271 Fort Richardson Ave Goodfellow Afb TX 76908-4901 |
| Practice Telephone | 3256545758 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2018-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PSI 24176 | FL | Student, Health Care |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PS 49342 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538504758 | Brian Edward Welch | Physical Therapy Assistant | 136 Teague Special Events Ctr, Acu Box 27916, Abilene, TX 79699-7916 | 2013-05-01 |
| 1861790537 | Brian Keith Welch | Nurse Practitioner | 3228e 15th St, Panama City, FL 32405-7423 | 2011-03-04 |
| 1669623252 | Brian Welch | Psychologist | 1518 Walnut St Ste 300, Philadelphia, PA 19102-3402 | 2008-10-01 |
| 1962918110 | Brian Welch | Pharmacist | 1642 Williams Hwy, Grants Pass, OR 97527-5660 | 2017-12-26 |
| 1316394877 | Brian Welch | Pharmacist | 24 Hospital Ave, Danbury, CT 06810-6099 | 2016-05-14 |
| 1992151997 | Brian Scott Welch | Student in an Organized Health Care Education/Training Program | 4500 Parsons Blvd, Flushing, NY 11355-2205 | 2016-05-09 |
| 1679830210 | Brian Welch | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2012-04-20 |
| 1740572080 | Brian Timothy Welch | Radiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2011-05-04 |
| 1386694966 | Brian J. Welch | Specialist | 3417 Gaston Ave, Suite 980, Dallas, TX 75246-2016 | 2006-05-12 |
| 1538131891 | Brian L Welch | Obstetrics & Gynecology | 804 Kenyon Rd, Fort Dodge, IA 50501-5742 | 2006-02-02 |
| Street Address |
271 FORT RICHARDSON AVE |
| City | GOODFELLOW AFB |
| State | TX |
| Zip Code | 76908-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780662197 | Clifton Wallace Bailey | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2006-01-05 |
| 1487290912 | Stacy Poindexter | Pharmacist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2019-11-19 |
| 1386106409 | Olivia Rosemary Tighe | Student in an Organized Health Care Education/Training Program | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2019-04-06 |
| 1326545450 | Matthew Thomas Bean | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2018-04-05 |
| 1548779234 | Stravens Moseti Omwenga | Nurse Practitioner | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2017-09-25 |
| 1326576521 | Aleksandr Golden Mcpike | Military Health Care Provider | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2017-06-01 |
| 1295263663 | Peter Dang | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908 | 2017-05-30 |
| 1306385083 | Latoya Danielle Johnson | Physician Assistant | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2017-02-15 |
| 1235687799 | Thomas Montgomery | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2016-09-13 |
| 1497201925 | Samantha Slikkers | Dentist | 271 Fort Richardson Ave, Goodfellow Afb, TX 76908-4901 | 2016-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164590048 | George E Jones Jr. | Pharmacist | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2006-12-01 |
| 1679649750 | Denise Robin Lyons | Dentist | Dept of The Air Force, 17th Dental Flight (aetc), Goodfellow Afb, TX 76908 | 2006-11-28 |
| 1326132010 | David Franklin-fernandez | Physician Assistant | 271 Fort Richardson, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1609961077 | Iris Belmar Ortiz Gonzalez | Dentist | 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 | 2006-10-03 |
| 1740785906 | Krishna Kidambi | Internal Medicine | 271 Fort Richardson Avenue, San Angelo, TX 76908 | 2018-03-28 |
| 1861705865 | Justin T Gathercoal | Family Medicine | 17th Medical Operations Squadron, Goodfellow Afb, San Angelo, TX 76908 | 2010-07-19 |
| 1609936848 | Robert Wesley Rainey | Pharmacist | 271 Ft Richardson Ave, Goodfellow Afb, TX 76908 | 2006-12-11 |
| 1760034698 | Lisbet Ivicic | Nurse Practitioner | 351 Kearney Blvd, San Angelo, TX 76908-3215 | 2019-07-11 |
| 1164088266 | Paul B Brown | Optometrist | 271 Fort Richardson Ave Ste 356, San Angelo, TX 76908-4901 | 2019-05-14 |
| 1821572561 | Andrew Amadeus De Los Reyes | Military Health Care Provider | 271 Fort Richardson Ave Bldg 1001, Goodfellow Afb, TX 76908-4901 | 2018-09-19 |
| Find all providers in zip 76908 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497813 | Cindy Layton Potter | Pharmacist | 400 Myrtle St, Nacogdoches, TX 75965-2652 | 2020-11-05 |
| 1306446398 | Claud Cameron | Pharmacist | 23552 Nameless Rd, Leander, TX 78641-9022 | 2020-10-28 |
| 1306445234 | Chloe Lee | Pharmacist | 4620 Sh 121, Lewisville, TX 75056-4530 | 2020-10-21 |
| 1205435195 | Scott Sadlowski | Pharmacist | 12605 I-45 N, Willis, TX 77318 | 2020-10-21 |
| 1891394102 | Shaunda Lynn Jackson | Pharmacist | 19250 W Lake Houston Pkwy, Humble, TX 77346-2279 | 2020-10-19 |
| 1841898251 | Pablo Reyna Castro | Pharmacist | 3100 S Gordon St, Alvin, TX 77511-4790 | 2020-10-16 |
| 1659979078 | Tina Teresa Cherian | Pharmacist | 341 S Loop 336 W, Conroe, TX 77304-3309 | 2020-10-16 |
| 1316545742 | Travis Jones | Pharmacist | 6767 Spencer Highway, Pasadena, TX 77505 | 2020-10-16 |
| 1396350666 | Patient Care Services Pharmacy Consulting, LLC | Pharmacist | 2000 N Central Expy Ste 214, Plano, TX 75074-5487 | 2020-09-13 |
| 1942813209 | Mountaineer Consultants LLC | Pharmacist | 933 Pellegrino Ave, El Paso, TX 79932-2063 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | GOODFELLOW AFB |
| Zip Code | 76908 |
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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.