Organization Active NPI

T&T Foot & Ankle Specialists, PA

  • Foot & Ankle Surgery Podiatrist
  • Brenham, TX
National Provider Identifier
1255790465
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2124 Issued in TX
Legal business name
T&T FOOT & ANKLE SPECIALISTS, PA
Practice address
601 Medical Pkwy Ste a
Brenham, TX 77833-5430
Phone
(979) 836-1111
Fax
(979) 836-3600
NPI assigned
Feb 16, 2016
Last updated
Feb 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Timmy Minh-Tien Pham, DPMNPI 1043573645
Title
President
Phone
(713) 269-7636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2124 TX Primary

Addresses

Primary practice location

601 Medical Pkwy Ste a
Brenham, TX 77833-5430

Mailing address

8331 Summertree Dr
Houston, TX 77040-1631
Phone (713) 269-7636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160803001280 TX Part B Supplier - Clinic/Group Practice 1254625965 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, TX; Brenham, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1255790465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 SUMMERTREE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770401631",
            "telephone_number": "713-269-7636"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "T&T FOOT & ANKLE SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TIMMY",
        "authorized_official_middle_name": "MINH-TIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-269-7636",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.