Brian C Douglas MD PA

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

F0980 Issued in TX

Legal business name

BRIAN C DOUGLAS MD PA

Practice address

6624 Fannin St
Suite 2560
Houston, TX 77030-2312

Phone

(713) 796-0062

Fax

(713) 796-9187

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Claude Douglas, MDNPI 1578540761

Title

President

Phone

(713) 796-0062

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Brian Douglas, M.D.

  • Gastroenterology Physician
  • Houston, TX
  • NPI 1578540761
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1245352814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "SUITE 2560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-796-0062",
            "fax_number": "713-796-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "SUITE 2560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "713-796-0062",
            "fax_number": "713-796-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C DOUGLAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-796-0062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F0980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Brewton, PH.D.
• Lauren Brezger
• Blaire Fritchie Brezina, MPAS, PA-C
• Brian a Moye DDS , Inc
• Brian C Castillo, MD PA
• Brian H Kaplan MD PA
• Brian J Miles MD PA
• Brianna Maronie PHD
• Brittny Briant, AGACNP-BC, FNP-C
• Briar Forest Dental Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.