Organization Active NPI

Burt L Forgason MD PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1124900071
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BURT L FORGASON MD PLLC
Practice address
14441 Memorial Dr Ste 6
Houston, TX 77079-6708
Phone
(281) 493-0010
Fax
(281) 493-3814
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Authorized official

Name
Mr. Burt L Forgason, MDNPI 1144292921
Title
President
Phone
(281) 493-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14441 Memorial Dr Ste 6
Houston, TX 77079-6708

Mailing address

14441 Memorial Dr Ste 6
Houston, TX 77079-6708
Phone (281) 493-0010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250922003054 TX Part B Supplier - Clinic/Group Practice 5092210088 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0946170Burt Forgason MD14441 Memorial Dr #6, Houston, TX 77079Certificate of waiverMay 18, 2028

National Provider Directory

National Provider Directory

Locations

14441 Memorial Dr
Ste 6
Houston, TX 77079
Phone (281) 493-0010

Practitioners & affiliated clinicians

Practitioners 2

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": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754697600000",
    "number": "1124900071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 MEMORIAL DR STE 6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796708",
            "telephone_number": "281-493-0010",
            "fax_number": "281-493-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14441 MEMORIAL DR STE 6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770796708",
            "telephone_number": "281-493-0010",
            "fax_number": "281-493-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURT L FORGASON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A",
        "authorized_official_last_name": "FORGASON",
        "authorized_official_first_name": "BURT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-493-0010",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Aug 9, 2025; 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.