Beryl Lynn Randolph, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

N4026 Issued in TX

Practice address

14095 S. Main St. Houston, TX 77035
Houston, TX 77035

Phone

(713) 426-0027

Fax

(832) 209-7186

NPI assigned

Aug 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

University of Texas Southwestern Medical School at Dallas, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston Area Community Services, Inc.Group PAC ID 6608977095, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandolph602532@direct.ochin.org

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.

• Houston Area Community Services, Inc.

  dba Avenue 360 Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1477795417
  Medicare reassignment Care Compare group
• Advanced Surgeons & Physicians Network, Inc.

  dba Advanced Medical Group

  • Family Medicine Physician
  • Houston, TX
  • NPI 1508030917

  Single Specialty

  Medicare reassignment NPD
• Houston Area Community Services, Inc.

  dba Avenue 360 Health and Wellness

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1053539262

  Single Specialty

  NPD
• FCHC Medical Care, LLC

  • Multi-Specialty Clinic/Center
  • Wauseon, OH
  • NPI 1598821175

  Single Specialty

  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732

  Single Specialty

  NPD (past)
• M. Teresa Tallon, M.D.

  • Family Medicine Physician
  • Fort Wayne, IN
  • NPI 1750660627

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1205845393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W 18TH ST STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081289",
            "telephone_number": "713-426-0027",
            "fax_number": "832-209-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14095 S. MAIN ST. HOUSTON, TX 77035",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77035",
            "telephone_number": "713-426-0027",
            "fax_number": "832-209-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 W 18th St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081289",
            "country_code": "US",
            "telephone_number": "713-426-0027",
            "fax_number": "832-209-7186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "BERYL",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-06",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "N4026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01055463A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Telisa R Randle, LCSW
• Tyanna Randle
• Andrea Marie Rando
• Andrea Randolph, RD
• Ashanta S Randolph, FNP
• Breanna Joyce Ellen Randolph, PA-C
• Eric D Randolph, D.C.
• Monique Randolph
• Nedra Randolph
• Steven Hraold Randolph, M.D.

• Obstetrics & Gynecology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.