Individual provider Active NPI

Marcel Dwaine Thompson, D.O.

  • Obstetrics & Gynecology Physician
  • Bellaire, TX
National Provider Identifier
1265593875
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L7220 Issued in TX
Practice address
4914 Bissonnet St Ste 101
Bellaire, TX 77401
Phone
(713) 623-1414
Fax
(713) 623-1784
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X L7220 TX
General Practice Physician 208D00000X L7220 TX
Obstetrics & Gynecology Physician 207V00000X L7220 TX Primary

Addresses

Primary practice location

4914 Bissonnet St Ste 101
Bellaire, TX 77401

Mailing address

4914 Bissonnet St Ste 101
Bellaire, TX 77401-4047
Phone (713) 623-1414

Other identifiers 2

IdentifierTypeStateIssuer
080462703MedicaidTX
353338203MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070723000866 TX Practitioner - Obstetrics/GynecologyPractitioner - Family Practice 3678674439 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
L7220TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PSM1 Management LLC CurrentSince Mar 26, 2025 Accepting new patients
My Vita Women S Wellness Center PLLC Obstetrics & Gynecology CurrentSince Oct 19, 2018 Accepting new patients
Texarkana Regional Healthcare Network Obstetrics & Gynecology Past Accepting new patients
Weaver Wellness Center Inc PastSince Nov 9, 2021 Accepting new patients
Medical Center Medical Group Past Accepting new patients
Austin Area Womens Center, PLLC Obstetrics & Gynecology PastSince Jan 1, 2008 Accepting new patients

Locations

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

4914 Bissonnet St
Ste 101
Bellaire, TX 77401
Phone (713) 623-1414

926 N Wilcrest Dr
Ste 100
Houston, TX 77079
Phone (713) 623-1414

2121 Williams Trace Blvd
Ste 300
Sugar Land, TX 77478
Phone (281) 710-0310

4660 Sweetwater Blvd
Ste 150
Sugar Land, TX 77479
Phone (281) 313-0551

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18199/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/11541/brand/61/csg/841/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1265593875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 BISSONNET ST STE 101",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014047",
            "telephone_number": "713-623-1414",
            "fax_number": "713-623-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 BISSONNET ST STE 101",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-623-1414",
            "fax_number": "713-623-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MARCEL",
        "middle_name": "DWAINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "L7220",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "L7220",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L7220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080462703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353338203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.