Southeast Texas Hyperbaric Medicine Center, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G5490 Issued in TX

Legal business name

SOUTHEAST TEXAS HYPERBARIC MEDICINE CENTER, P.A.

Practice address

500 Medical Center Blvd
Ste #110
Conroe, TX 77304-2889

Phone

(936) 539-7074

Fax

(936) 539-9100

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Bradley A Pontani, MD

Title

Owner/Physician

Phone

(936) 539-7071

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Grieme, M.D.

  • Emergency Medicine Physician
  • Corpus Christi, TX
  • NPI 1447461157
  NPD (past)
• Robert L Williams, M.D.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Conroe, TX
  • NPI 1760446561

  Specialist

  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1194838318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "STE #110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042889",
            "telephone_number": "936-539-7074",
            "fax_number": "936-539-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "STE #110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042889",
            "telephone_number": "936-539-7074",
            "fax_number": "936-539-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS HYPERBARIC MEDICINE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "PONTANI",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "936-539-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159532401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solara Hospital Conroe LP
• Solutions Counseling Center, LLC
• Nicholas Sorrell, CRNA
• Ella Regan Sossaman
• Southeast Texas Hyperbaric Medicine
• Southern Texas Physicians Network Inc
• John C Sparks Jr., M.D.
• Sparta Wellness
• Anthony Tyler Spates, DDS
• Rebecca Danielle Spaulding, LPC

• Specialist in Conroe, TX
• Providers in Conroe, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.