Organization Active NPI

John a. Burpeau, M.D., P.a.

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1124206842
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
J4014 Issued in TX
Legal business name
JOHN A. BURPEAU, M.D., P.A.
Practice address
1200 Binz St Ste 1130
Houston, TX 77004-6926
Phone
(713) 529-0543
Fax
(713) 529-9346
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Cynthia Simmons
Title
Office Manager
Phone
(713) 529-0543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X J4014 TX Primary

Addresses

Primary practice location

1200 Binz St Ste 1130
Houston, TX 77004-6926

Mailing address

4119 Montrose Blvd Ste 100
Houston, TX 77006-4971
Phone (713) 529-0543

Other identifiers 1

IdentifierTypeStateIssuer
096523801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100520000085 TX Part B Supplier - Clinic/Group Practice 9335278951 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
John a Burpeau MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4119 Montrose Blvd
Ste 100
Houston, TX 77006
Phone (713) 333-9702

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1124206842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 MONTROSE BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064971",
            "telephone_number": "713-529-0543",
            "fax_number": "713-529-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046926",
            "telephone_number": "713-529-0543",
            "fax_number": "713-529-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. BURPEAU, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-529-0543"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J4014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096523801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.