Individual provider Active NPI

Solomon Sam Brickman, M.D.

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1013973163
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
F2179 Issued in TX
Practice address
11730 FM 1960 Rd W
Houston, TX 77065-3514
Phone
(281) 955-2263
Fax
(281) 955-7990
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F2179 TX
Dermatology Physician 207N00000X F2179 TX Primary

Addresses

Primary practice location

11730 FM 1960 Rd W
Houston, TX 77065-3514

Mailing address

11730 FM 1960 Rd W
Houston, TX 77065-3514
Phone (281) 955-2263

Other identifiers 1

IdentifierTypeStateIssuer
0091MHOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050413000224 TX Practitioner - Dermatology 3779520689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11730 FM 1960 Rd W
Houston, TX 77065-3514
Phone (281) 955-2263

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions533
Removal or shaving of skin growth78
Skin biopsy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F2179TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon Sam Brickman MD PA Dermatology CurrentSince Mar 21, 2005 Accepting new patients
Solomon Sam Brickman MD PA Dermatology Past Accepting new patients

Locations

8830 Long Point Rd
Ste 501
Houston, TX 77055
Phone (713) 465-4865

11730 FM 1960 Rd W
Houston, TX 77065
Phone (281) 955-2263

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1013973163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11730 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653514",
            "telephone_number": "281-955-2263",
            "fax_number": "281-955-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11730 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653514",
            "telephone_number": "281-955-2263",
            "fax_number": "281-955-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKMAN",
        "first_name": "SOLOMON",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F2179",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F2179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0091MH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.