Individual provider Active NPI

Bruce January, M.D.

  • Ophthalmology Physician
  • Bellaire, TX
National Provider Identifier
1154438927
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K7561 Issued in TX
Practice address
5420 West Loop S Ste 4200
Bellaire, TX 77401-2121
Phone
(713) 666-4224
Fax
(713) 666-2203
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K7561 TX Primary

Addresses

Primary practice location

5420 West Loop S Ste 4200
Bellaire, TX 77401-2121

Mailing address

5420 West Loop S Ste 4200
Bellaire, TX 77401-2121
Phone (713) 666-4224

Other identifiers 1

IdentifierTypeStateIssuer
00137623OtherTXDPS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K7561TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clemson Eye, PA Past Accepting new patients
Jonathan Woolfson, MD, PC Ophthalmology Past Accepting new patients
San Antonio Eye Center PA Past Accepting new patients
San Antonio Eye Center, PA Ophthalmology Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154438927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 WEST LOOP S STE 4200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012121",
            "telephone_number": "713-666-4224",
            "fax_number": "713-666-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 WEST LOOP S STE 4200",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012121",
            "telephone_number": "713-666-4224",
            "fax_number": "713-666-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANUARY",
        "first_name": "BRUCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K7561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "00137623",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.