Individual provider Active NPI

Bruce Loyal Ehni, MD

  • Neurological Surgery Physician
  • Houston, TX
National Provider Identifier
1205820446
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
E6337 Issued in TX
Practice address
2002 Holcombe Blvd
580-112 Neurosurgery
Houston, TX 77030-4211
Phone
(713) 791-1414
Fax
(713) 794-7352
NPI assigned
Sep 2, 2005
Last updated
May 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X E6337 TX Primary

Addresses

Primary practice location

2002 Holcombe Blvd
580-112 Neurosurgery
Houston, TX 77030-4211

Mailing address

2532 Blue Bonnet Blvd
Houston, TX 77030-3504
Phone (713) 664-4483

Other identifiers 2

IdentifierTypeStateIssuer
84Z192OtherTXBC/BS OF TEXAS
129878804MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090420000267 TX Practitioner - Neurosurgery 2264589779 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Current Accepting new patients
Baylor College of Medicine CurrentSince May 23, 2010 Accepting new patients
Baylor College of Medicine CurrentSince Apr 29, 2014 Accepting new patients
Baylor College of Medicine Neurological Surgery CurrentSince May 23, 2010 Accepting new patients
Baylor College of Medicine Neurological Surgery CurrentSince Apr 29, 2014 Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

6560 Fannin St
Ste 1200
Houston, TX 77030
Phone (713) 790-1211

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1205820446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 BLUE BONNET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303504",
            "telephone_number": "713-664-4483",
            "fax_number": "713-794-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD",
            "address_2": "580-112 NEUROSURGERY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "713-791-1414",
            "fax_number": "713-794-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHNI",
        "first_name": "BRUCE",
        "middle_name": "LOYAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "E6337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "84Z192",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129878804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.