Individual provider Active NPI

Thomas Minh-Ngoc Pham, DPM

  • Podiatrist
  • Brenham, TX
National Provider Identifier
1255740502
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2131 Issued in TX
Practice address
601 Medical Pkwy Ste a
Brenham, TX 77833-5430
Phone
(979) 836-1111
Fax
(979) 836-3600
NPI assigned
Aug 11, 2014
Last updated
May 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2131 TX Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 2131 TX

Addresses

Primary practice location

601 Medical Pkwy Ste a
Brenham, TX 77833-5430

Mailing address

601 Medical Pkwy
Suite a
Brenham, TX 77833-5429
Phone (979) 836-1111

Other practice location 1

2122 Highway 71 S
Columbus, TX 78934-3011
Phone (979) 836-1111

Other practice location 2

1485 Fm 1960 Bypass Rd E Ste 260
Humble, TX 77338-3965
Phone (281) 324-0444

Other identifiers 1

IdentifierTypeStateIssuer
002AAPOtherTXTX BCBS

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715000804 TX Practitioner - Podiatry 1254644529 Reassigns benefits to 3 organizations
Practice locations: Brenham, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jan 22, 2019 Accepting new patients
David P Ellent PLLC CurrentSince Jul 1, 2019 Accepting new patients
T&T Foot & Ankle Specialists, PA Foot & Ankle Surgery CurrentSince Feb 16, 2016 Accepting new patients
David P Ellent PLLC CurrentSince Jul 1, 2019 Accepting new patients
St. Hope Foundation, Inc CurrentSince Feb 5, 2024 Accepting new patients
St Hope Foundation Inc CurrentSince Feb 5, 2024 Accepting new patients
Orthodomicile Podiatrist Past Accepting new patients
St Hope Foundation Inc PastSince Feb 5, 2024 Accepting new patients
H R Andersen and Associates Podiatrist PastSince Jul 5, 2016 Accepting new patients
Legacy Foot & Ankle Specialists, PLLC Foot & Ankle Surgery PastSince May 1, 2019 Accepting new patients
St. Hope Foundation, Inc. Past Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

6800 West Loop S
Ste 560
Bellaire, TX 77401
Phone (713) 839-7111

601 Medical Pkwy
Ste A
Brenham, TX 77833
Phone (979) 836-1111

605 Medical Ct
Ste 202
Brenham, TX 77833
Phone (979) 830-0700

2122 Highway 71 S
Columbus, TX 78934
Phone (979) 732-2318

1414 S Frazier St
Ste 105106
Conroe, TX 77301
Phone (936) 441-2440

6200 Savoy Dr
Ste 540
Houston, TX 77036
Phone (713) 778-1300

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: thomas.pham@10229.chartlogic.direct-ci.com

Organizations & group practices 11

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1255740502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY",
            "address_2": "SUITE A",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335429",
            "telephone_number": "979-836-1111",
            "fax_number": "979-836-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 MEDICAL PKWY STE A",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335430",
            "telephone_number": "979-836-1111",
            "fax_number": "979-836-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Highway 71 S",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "TX",
            "postal_code": "789343011",
            "country_code": "US",
            "telephone_number": "979-836-1111",
            "fax_number": "979-836-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1485 Fm 1960 Bypass Rd E Ste 260",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773383965",
            "country_code": "US",
            "telephone_number": "281-324-0444",
            "fax_number": "979-836-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "THOMAS",
        "middle_name": "MINH-NGOC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2131",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BCBS",
            "identifier": "002AAP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.