NPIMap

Individual provider Active NPI

Bryan M Pham, M.D.

  • Urology Physician
  • Houston, TX
National Provider Identifier
1154702033
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
S7756 Issued in TX
Practice address
1200 Binz St
Ste 690
Houston, TX 77004-6943
Phone
(713) 366-7831
Fax
(713) 482-5815
NPI assigned
Jun 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X S7756 TX Primary
Urology Physician 208800000X 2015018554 MO
Urology Physician 208800000X 73761 TN

Addresses

Primary practice location

1200 Binz St
Ste 690
Houston, TX 77004-6943

Mailing address

1200 Binz St
Ste 690
Houston, TX 77004-6943
Phone (346) 339-5949

Other practice location 1

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 2

2204 Pavilion Dr Ste 300
Kingsport, TN 37660-4653
Phone (423) 246-4155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201001000055 TX Practitioner - Urology 8820302722 Reassigns benefits to 4 organizations
I20251229001565 TN Practitioner - Urology 8820302722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odr Pediatric Urology Institute PLLCGroup PAC ID 6507193984, 2 clinicians

Practice addresses (Care Compare)

1200 Binz St
Suite 690
Houston, TX 77004-6943
Phone (713) 366-7831

605 E San Antonio St
509E Detar Urology Ctr
Victoria, TX 77901-6050
Phone (361) 573-6351

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

Merit-based Incentive Payment System (MIPS)

Final score
96.32 of 100Reported as group
Quality
88.54
Promoting interoperability
100
Improvement activities
40
Cost
82.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73761TNMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmont Medical Associates, Inc. CurrentSince Oct 19, 2025 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 14, 2025 Accepting new patients
Regional Employee Assistance Program Inc Urology CurrentSince Apr 14, 2025 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Oct 19, 2025 Accepting new patients
Odr Pediatric Urology Institute PLLC Urology CurrentSince Aug 1, 2020 Accepting new patients
David S Ho MD PA Urology CurrentSince Jan 1, 2024 Accepting new patients
Shannon Clinic CurrentSince May 26, 2023 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

1200 Binz St
Ste 690
Houston, TX 77004
Phone (713) 366-7831

915 Gessner Rd
Ste 985
Houston, TX 77024
Phone (346) 339-5949

6560 Fannin St
Ste 1554
Houston, TX 77030
Phone (713) 796-1500

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

605 E San Antonio St
Ste 509E
Victoria, TX 77901
Phone (361) 573-6351

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Interoperability endpoints

  • Direct secure messaging: bpham66535@memorialhermann.direct-ci.com
  • Direct secure messaging: bryan.pham.1@1902.direct.athenahealth.com

Organizations & group practices 9

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 6

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1154702033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST",
            "address_2": "STE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046943",
            "telephone_number": "346-339-5949",
            "fax_number": "713-482-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST",
            "address_2": "STE 690",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046943",
            "telephone_number": "713-366-7831",
            "fax_number": "713-482-5815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "fax_number": "276-258-3607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2204 Pavilion Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604653",
            "country_code": "US",
            "telephone_number": "423-246-4155",
            "fax_number": "423-246-7169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "BRYAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "S7756",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2015018554",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "73761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.