Henry Leroy Burkholder IV, M.D.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

N7062 Issued in TX

Practice address

17450 St Lukes Way Ste 230
The Woodlands, TX 77384-8045

Phone

(281) 843-8441

Fax

(281) 674-7536

NPI assigned

Jul 13, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: henry.burkholder.1@27822.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.

• Lonestar Hospital Medicine Associates, PA

  • Hospitalist Physician
  • Mansfield, TX
  • NPI 1518237429
  Medicare reassignment NPD
• Magella Medical Associates Billing, Inc.

  • Neonatal-Perinatal Medicine Physician
  • Round Rock, TX
  • NPI 1083631071

  Pediatric Cardiology

  Medicare reassignment NPD
• Push Medical Services

  • Primary Care Clinic/Center
  • Huntsville, TX
  • NPI 1225702467
  NPD

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1134474380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 WORTHAM CENTER DR FL 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655625",
            "telephone_number": "281-843-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17450 ST LUKES WAY STE 230",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848045",
            "telephone_number": "281-843-8441",
            "fax_number": "281-674-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 Col Etheredge Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TX",
            "postal_code": "773404224",
            "country_code": "US",
            "telephone_number": "936-439-4608",
            "fax_number": "936-353-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "HENRY",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N7062",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "N7062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy C Bumgardner, MD
• Christy Edwards Bunn, LPC-A
• Caryssa Chantille Burckart, PA-C
• Larry Winston Burgess, D.D.S.
• Alexander Joseph Buriak, DC
• Ashley Lauren Burks, LPC-ASSOCIATE
• Alexandra Grace Burleson, LPC
• Rebecca Burnett-Khan
• Brian Burney, M.A., LPC
• Matthew Burnham, FNP

• Pediatric Cardiology Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Pediatric Cardiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.