Active NPI
Al Anoud Daoud Baddour, MD
- Student in an Organized Health Care Education/Training Program
- Houston, TX
National Provider Identifier
1356082002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- BP10096347
- Practice address
- 6431 Fannin St
MSB 7.154
Houston, TX 77030-1501 - Phone
- (713) 500-6128
- Fax
- (713) 500-0665
- NPI assigned
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10096347 | TX | Primary |
| Neurology Physician | 2084N0400X | 13502720-1205 | UT |
Addresses
Primary practice location
6431 Fannin St
MSB 7.154
Houston, TX 77030-1501
Mailing address
6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-6128
Other practice location 1
175 N Medical Dr E Rm 5675
Salt Lake City, UT 84132-0002
Phone (801) 581-2121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230823000746 | UT | Order and Referring Only - Neurology | 6406219559 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13502720-1205 | UT | MD | Neurology Physician |
| BP10096347 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1356082002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-6128",
"fax_number": "713-500-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6431 FANNIN ST",
"address_2": "MSB 7.154",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-500-6128",
"fax_number": "713-500-0665"
}
],
"practiceLocations": [
{
"address_1": "175 N Medical Dr E Rm 5675",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "841320002",
"country_code": "US",
"telephone_number": "801-581-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADDOUR",
"first_name": "AL ANOUD",
"middle_name": "DAOUD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10096347",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "UT",
"license": "13502720-1205",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.