Adelia Brannen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H4186 Issued in TX

Practice address

250 Blossom St Ste 100
Webster, TX 77598-4243

Phone

(281) 724-0190

Fax

(832) 632-2415

NPI assigned

Aug 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
• Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adelia.brannen.1@17679.direct.athenahealth.com

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.

• Ab Brannen MD PLLC

  • Family Medicine Physician
  • Webster, TX
  • NPI 1457851446
  Medicare reassignment NPD Authorized official
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Clear Lake LP

  • General Acute Care Hospital
  • Webster, TX
  • NPI 1063466035
  Care Compare affiliation
• Houston Methodist St. John Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1952723967
  Care Compare affiliation

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1114911534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST STE 100",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984243",
            "telephone_number": "281-724-0190",
            "fax_number": "832-632-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BLOSSOM ST STE 100",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984243",
            "telephone_number": "281-724-0190",
            "fax_number": "832-632-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNEN",
        "first_name": "ADELIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060040008",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86Z062",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4265026",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121330802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "87576Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Scott Bowman, DC
• Emma Bradley
• Crystal A.M. Brady, D.D.S.
• Rita Gay Brady, CRNA
• Brain & Spine Clinic, PA
• Stevi Brook Braswell, FNP
• Katharine Brazzil
• Breathe Eazy LLC
• Andrew J Breland, MS, MPAS, LPC, PA-C
• Gabrielle Brending, OD

• Family Medicine Physician in Webster, TX
• Providers in Webster, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.