Bread of Life Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BREAD OF LIFE PEDIATRICS PLLC

Practice address

13111 Westheimer Rd Ste 250
Houston, TX 77077-5520

Phone

(832) 866-0919

Fax

(832) 202-0808

NPI assigned

May 24, 2023

Last updated

Jan 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Evelyn Okerulu

Title

Manager

Phone

(832) 866-0919

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ijeoma Adaeze Oguagha, M.D.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1265793822
  NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1053003368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 WESTHEIMER RD STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775520",
            "telephone_number": "832-866-0919",
            "fax_number": "832-202-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 WESTHEIMER RD STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775520",
            "telephone_number": "832-866-0919",
            "fax_number": "832-202-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAD OF LIFE PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "OKERULU",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-866-0919",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brazos Valley Post Acute Physician and Associates PLLC
• George Randall Brazzel, MA, LPC, LMFT
• Dayannis Brea Nunez
• Bread of Life Care Services, Inc.
• Bread of Life Healthcare Provider
• Bread of Life, Inc. (Paradigm)
• Break Every Chain Transformation House
• Breaking Barriers Incorporated
• Breaking Barriers Residential Care Homes LLC
• Breakthrough Behavioral Cognitive Interventions

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.