DR. BRIAN M VARISCO MD
NPI 1063562924
Pediatrics - Pediatric Critical Care Medicine in Little Rock, AR

Q: What is Brian Varisco's NPI number?

The NPI number for Brian Varisco is 1063562924. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Q: What is Brian Varisco's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Brian Varisco was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2007PECOS Enrolled

1 CHILDRENS WAY # 512-1, LITTLE ROCK, AR 72202(501) 364-5262(501) 364-3418 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Brian M Varisco Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN M VARISCO MD (NPI 1063562924) is an individual pediatric critical care medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-16817) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1063562924

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. BRIAN M VARISCOCredential: MD

Location Address1 CHILDRENS WAY # 512-1Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 364-5262

Fax(501) 364-3418

Sole ProprietorNo

Enumeration DateJanuary 11, 2007

Last NPPES UpdateAugust 28, 2023

NPPES CertifiedAugust 28, 2023

✔ NPI 1063562924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in AR · E-16817✔ Licensed in OH · 35-095132

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License E-16817 (AR)

1 CHILDRENS WAY # 512-1, Little Rock, AR 72202

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Secondary Practice Location 1

Location 13333 Burnet Ave., Critical Care Medicine ML 2005Cincinnati, OH 45229-3039 · Phone (513) 636-4259

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian M Varisco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTYN N JEFFRIES MD

Pediatrics