Individual provider Active NPI

Guillermo Barrera Jr., MD

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1124389275
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
06597181 Issued in ZZ
Practice address
1035 Dairy Ashford Rd
Suite 154
Houston, TX 77079-4608
Phone
(713) 589-6400
Fax
(713) 779-9813
NPI assigned
Jun 6, 2012
Last updated
Jan 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 06597181 ZZ Primary

Addresses

Primary practice location

1035 Dairy Ashford Rd
Suite 154
Houston, TX 77079-4608

Mailing address

1035 Dairy Ashford Rd
Suite 154
Houston, TX 77079-4608
Phone (713) 589-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
06597181ZZMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1124389275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 DAIRY ASHFORD RD",
            "address_2": "SUITE 154",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794608",
            "telephone_number": "713-589-6400",
            "fax_number": "713-779-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 DAIRY ASHFORD RD",
            "address_2": "SUITE 154",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794608",
            "telephone_number": "713-589-6400",
            "fax_number": "713-779-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRERA",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ZZ",
            "license": "06597181",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 13, 2017; 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.