Individual provider Active NPI

Bernadette Celestial Brown, AGPCNP-BC

  • Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1306380936
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP130774 Issued in TX
Practice address
1111 Medical Plaza Dr Ste 170
The Woodlands, TX 77380-3477
Phone
(281) 444-1303
Fax
(281) 444-5161
NPI assigned
Dec 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP130774 TX Primary

Addresses

Primary practice location

1111 Medical Plaza Dr Ste 170
The Woodlands, TX 77380-3477

Mailing address

1111 Medical Plaza Dr Ste 170
The Woodlands, TX 77380-3477
Phone (281) 444-1303

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181030002712 TX Practitioner - Nurse Practitioner 3678826138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Center for Infectious Diseases PAGroup PAC ID 5799763066, 9 clinicians

Practice addresses (Care Compare)

1111 Medical Plaza Dr
Suite 170
The Woodlands, TX 77380-3477
Phone (281) 444-1303

Hospital & facility affiliations

  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP130774TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Center for Infectious Diseases PA CurrentSince Jul 3, 2018 Accepting new patients

Locations

1111 Medical Plaza Dr
Ste 170
The Woodlands, TX 77380
Phone (281) 444-1303

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDABA

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1306380936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR STE 170",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803477",
            "telephone_number": "281-444-1303",
            "fax_number": "281-444-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR STE 170",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803477",
            "telephone_number": "281-444-1303",
            "fax_number": "281-444-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BERNADETTE",
        "middle_name": "CELESTIAL",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.