Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Patrick Staak, MD

Individual provider General Practice Physician · NPI 1083241103

Brian Patrick Staak, MD is an Anesthesiology in Jbsa Lackland, Texas. Qualified in 2020, 6 years ago. Practices with Premier Anesthesia of Montgomery PC, a 117-clinician group and accepts Medicare assignment. Licensed in Alabama and Virginia.

Years since qualifying
6
Licensed in
AL, VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone: (210) 916-8666
Fax: (210) 916-8712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 48735 (AL)
General Practice Physician Taxonomy 208D00000X · Licence 0101274302 (VA)

Record details

NPI number1083241103
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2020
Last updated in NPPESMay 18, 2024
Certification dateMay 18, 2024
Mailing address3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Premier Anesthesia Of Montgomery Pc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Jbsa Lackland