Individual provider Active NPI

Warren Bellows III, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1205152402
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E 2462 Issued in TX
Practice address
3612 Wickersham LN
Houston, TX 77027-4138
Phone
(713) 850-1456
Fax
(713) 850-0449
NPI assigned
Apr 13, 2010
Last updated
Apr 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E 2462 TX Primary

Addresses

Primary practice location

3612 Wickersham LN
Houston, TX 77027-4138

Mailing address

3612 Wickersham LN
Houston, TX 77027-4138
Phone (713) 850-1456

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E 2462TXMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1205152402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 WICKERSHAM LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274138",
            "telephone_number": "713-850-1456",
            "fax_number": "713-850-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 WICKERSHAM LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770274138",
            "telephone_number": "713-850-1456",
            "fax_number": "713-850-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOWS",
        "first_name": "WARREN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E 2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 13, 2010; 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.