Organization Active NPI

Bretshire Medical Clinic PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1184749467
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D7470 Issued in TX
Legal business name
BRETSHIRE MEDICAL CLINIC PA
Practice address
7030 Bretshire St
Houston, TX 77016
Phone
(713) 633-2100
Fax
(713) 633-2103
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Authorized official

Name
James Michael Larose, DO
Title
President
Phone
(713) 633-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X D7432 TX
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X D7470 TX Primary

Addresses

Primary practice location

7030 Bretshire St
Houston, TX 77016

Mailing address

7030 Bretshire St
Houston, TX 77016
Phone (713) 633-2100

Other identifiers 1

IdentifierTypeStateIssuer
131844603MedicaidTX

National Provider Directory

National Provider Directory

Locations

7030 Bretshire Dr
Houston, TX 77016
Phone (713) 252-3579

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212969600000",
    "number": "1184749467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 BRETSHIRE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77016",
            "telephone_number": "713-633-2100",
            "fax_number": "713-633-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 BRETSHIRE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77016",
            "telephone_number": "713-633-2100",
            "fax_number": "713-633-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETSHIRE MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-06-09",
        "status": "A",
        "authorized_official_last_name": "LAROSE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-633-2100",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D7432",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D7470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131844603",
            "state": "TX"
        }
    ],
    "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 Jun 9, 2008; 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.