Individual provider Active NPI

Byron J Bohnn, MD

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1295723732
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D3154 Issued in TX
Practice address
1213 Hermann Dr
Suite 210
Houston, TX 77004-7018
Phone
(713) 955-1707
Fax
(713) 955-1699
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D3154 TX Primary

Addresses

Primary practice location

1213 Hermann Dr
Suite 210
Houston, TX 77004-7018

Mailing address

1213 Hermann Dr
Suite 210
Houston, TX 77004-7018
Phone (713) 955-1707

Other identifiers 1

IdentifierTypeStateIssuer
124853609MedicaidTX

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
I20070723000820 TX Practitioner - Diagnostic Radiology 3072546910 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Radiology PAGroup PAC ID 2668432782, 39 clinicians

Practice addresses (Care Compare)

3310 Richmond Ave
Houston, TX 77098-3008
Phone (713) 589-5231

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D3154TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Aug 15, 2019 Accepting new patients
Vascular and Interventional Radiology of America Diagnostic Radiology CurrentSince Dec 11, 2013 Accepting new patients
Innovative Radiology PA Diagnostic Radiology CurrentSince Dec 28, 2013 Accepting new patients
HCC Region II LLC Past Accepting new patients
Dee G. McCrary Jr. MD PA Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Sabine County Hospital District Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Jack M Thomas MD PLLC Past Accepting new patients
Jack M Thomas MD PLLC Diagnostic Radiology Past Accepting new patients
DRH & Associates, Inc PastSince Mar 28, 2017 Accepting new patients

Locations

2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

2502 W Trenton Rd
Edinburg, TX 78539
Phone (956) 630-2119

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

1213 Hermann Dr
Ste 255
Houston, TX 77004
Phone (713) 522-6004

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

2130 W Holcombe Blvd
#B
Houston, TX 77030

3310 Richmond Ave
Houston, TX 77098
Phone (713) 400-3400

2130 W Holcombe Blvd
Fl 10
Houston, TX 77030
Phone (713) 600-0900

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

3322 E Walnut St
Ste 105
Pearland, TX 77581
Phone (281) 485-2201

Organizations & group practices 12

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1295723732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-955-1707",
            "fax_number": "713-955-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-955-1707",
            "fax_number": "713-955-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHNN",
        "first_name": "BYRON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "D3154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124853609",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.