Bird Dog Pharma, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BIRD DOG PHARMA, LLC

Practice address

12242 Queenston Blvd Ste E
Houston, TX 77095-5353

Phone

(713) 252-3579

Fax

(800) 434-7514

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Johnny GilbertNPI 1225498173

Title

Ceo

Phone

(713) 252-3579

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Bird Dog Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 26

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

• Syed Viqar Ahmed, MD

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1184673253
  Medicare reassignment NPD
• Imran Baig, M.D.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1679567838

  Internal Medicine

  Medicare reassignment NPD
• Anand Balasubramanian, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1811939606
  Medicare reassignment NPD
• CHI Si Choi, M.D.

  • Cardiovascular Disease Physician
  • Houston, TX
  • NPI 1336182294
  Medicare reassignment NPD
• Christine A. Contreras, M.D.

  • General Practice Physician
  • San Antonio, TX
  • NPI 1619133238

  Internal Medicine

  Medicare reassignment NPD
• Maria J Garcia, NP

  • Nurse Practitioner
  • Weslaco, TX
  • NPI 1114116738
  Medicare reassignment NPD
• Gloria Lewis, FNP

  • Family Nurse Practitioner
  • Canyon, TX
  • NPI 1245460625
  Medicare reassignment NPD
• Peter Minh Nguyen, M.D.

  • Internal Medicine Physician
  • Victoria, TX
  • NPI 1902976483
  Medicare reassignment NPD
• Rosemary O Obudulu, M.D.

  • Internal Medicine Physician
  • Pearland, TX
  • NPI 1740215029
  Medicare reassignment NPD
• Antonio Jose Ramos Jr., M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1063424992
  Medicare reassignment NPD
• Patricia Denise Salvato, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1043218845
  Medicare reassignment NPD
• Jeremy W Szeto, D.O.

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1386719946
  Medicare reassignment NPD

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1124488085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12242 QUEENSTON BLVD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955353",
            "telephone_number": "713-252-3579",
            "fax_number": "800-434-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12242 QUEENSTON BLVD STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955353",
            "telephone_number": "713-252-3579",
            "fax_number": "800-434-7514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 Richmond Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770575905",
            "country_code": "US",
            "telephone_number": "713-252-3579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 N Salinas Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Donna",
            "state": "TX",
            "postal_code": "785372926",
            "country_code": "US",
            "telephone_number": "713-252-3579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7030 Bretshire Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770163704",
            "country_code": "US",
            "telephone_number": "713-252-3579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Village Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780412211",
            "country_code": "US",
            "telephone_number": "713-252-3579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BIRD DOG PHARMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-252-3579"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367518303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367518301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bird Dog Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bird Dog Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Birch Social US LLC
• Birch Transportation LLC
• Sherri B. Birchansky, M.D.
• Zakiya F Bircher, MA
• Lindsay Beth Birchfield
• Justin Earl Bird, M.D.
• Tamara Bird, PA
• Cathy Birden, M.ED, LPC
• Nakaila Birdine
• Birds Eye View Optometry Tanglewood PLLC

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.