Individual provider Active NPI

Bryan Novosad, MD

  • Family Medicine Physician
  • Kingwood, TX
National Provider Identifier
1356335517
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E8768 Issued in TX
Practice address
2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222
Phone
(281) 360-7502
Fax
(281) 360-0587
NPI assigned
Sep 2, 2005
Last updated
Mar 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E8768 TX Primary

Addresses

Primary practice location

2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222

Mailing address

2601 W Lake Houston Pkwy
Kingwood, TX 77339-5222
Phone (281) 360-7502

Other identifiers 1

IdentifierTypeStateIssuer
128794806MedicaidTX

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
I20050908000985 TX Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 9335171446 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8768TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. Current Accepting new patients
American Current Care P.a. CurrentSince Jun 23, 2025 Accepting new patients
American Current Care PA CurrentSince Jun 23, 2025 Accepting new patients
Innovations Wound Management, PA Family Medicine Past Accepting new patients
Emergency Care Specialists, PA Past Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients
Texas Gulf Coast Medical System, Inc Family Medicine Past Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

3817 Stagg Dr
Beaumont, TX 77701
Phone (409) 813-1920

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1356335517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W LAKE HOUSTON PKWY",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395222",
            "telephone_number": "281-360-7502",
            "fax_number": "281-360-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W LAKE HOUSTON PKWY",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395222",
            "telephone_number": "281-360-7502",
            "fax_number": "281-360-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOSAD",
        "first_name": "BRYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E8768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128794806",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.