Individual provider Active NPI

Brandy J Khodr, RN, MSN, AGACNP-BC

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1144730201
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2017018048 Issued in TX
Practice address
8307 Knight Rd
Houston, TX 77054
Phone
(713) 796-9955
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017018048 TX
Gerontology Nurse Practitioner 363LG0600X 2017018048 TX
Adult Health Nurse Practitioner 363LA2200X 2017018048 TX Primary

Addresses

Primary practice location

8307 Knight Rd
Houston, TX 77054

Mailing address

PO Box 3345
Houston, TX 77253-3345
Phone (713) 796-9955

Other practice location 1

411 Park Grove Ln Ste 620
Katy, TX 77450-1576
Phone (832) 645-4038

Other names 1

  • Brandy J Wheeler Former name

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201217001410 TX Practitioner - Nurse Practitioner 3577813385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Houston Metro UrologyGroup PAC ID 3971508235, 31 clinicians

Practice addresses (Care Compare)

4223 Richmond Ave
Houston, TX 77027-6856

6560 Fannin St
Suite 1440
Houston, TX 77030-2713
Phone (713) 790-9700

7777 Southwest Fwy
Suite 1032
Houston, TX 77074-1812
Phone (713) 771-9224

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP135132TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Metro Urology CurrentSince Jan 1, 2021 Accepting new patients

Locations

4223 Richmond Ave
Houston, TX 77027
Phone (713) 351-0630

7777 Southwest Fwy
Ste 1032
Houston, TX 77074
Phone (713) 351-0644

6560 Fannin St
Ste 1440
Houston, TX 77030
Phone (713) 523-7843

16605 Southwest Fwy
Ste 250
Sugar Land, TX 77479
Phone (281) 325-1090

Interoperability endpoints

  • Direct secure messaging: brandy.khodr.1@15454.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144730201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3345",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533345",
            "telephone_number": "713-796-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8307 KNIGHT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "713-796-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Park Grove Ln Ste 620",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774501576",
            "country_code": "US",
            "telephone_number": "832-645-4038",
            "fax_number": "832-675-9861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHODR",
        "first_name": "BRANDY",
        "middle_name": "J",
        "credential": "RN, MSN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "2017018048",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "2017018048",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "2017018048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "WHEELER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.