Greenbriar Dermatology, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

H6065 Issued in TX

Legal business name

GREENBRIAR DERMATOLOGY, P.A.

Practice address

2211 Norfolk
Suite 405
Houston, TX 77098-4054

Phone

(713) 522-7411

Fax

(713) 522-7452

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Bradford Bowden, M.D.

Title

Owner

Phone

(713) 522-7411

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• J. Brad Bowden M.D., P.A. Former legal business name

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1225211352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 NORFOLK",
            "address_2": "SUITE 405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984054",
            "telephone_number": "713-522-7411",
            "fax_number": "713-522-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NORFOLK",
            "address_2": "SUITE 405",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984054",
            "telephone_number": "713-522-7411",
            "fax_number": "713-522-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIAR DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-522-7411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H6065",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H6065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131854503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0009RC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Brad Bowden M.D., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Greenberg-Schneider, MS, CCC-SLP
• Edythe M Greenberg, N.P.
• Karen Rochelle Greenberg, LMSW
• Larry Z Greenberg, DDS
• Stephen Greenberg, MD
• Greenbridge Home Health Inc
• Aimee Monroe Greene
• Anjelica Greene, PHD
• Anshula Greene, M.D.
• Cassandra Weinberg Greene

• Dermatology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.