Organization Active NPI

Russell C Vanbiber MD, PLLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1356712095
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G5728 Issued in TX
Legal business name
RUSSELL C VANBIBER MD, PLLC
Practice address
2500 Fondren Rd
Suite Number 255
Houston, TX 77063-2308
Phone
(832) 769-3313
Fax
(832) 769-3307
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Dr. Russell C Vanbiber III, M.D.NPI 1518983303
Title
Physician
Phone
(832) 769-3313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G5728 TX Primary

Addresses

Primary practice location

2500 Fondren Rd
Suite Number 255
Houston, TX 77063-2308

Mailing address

2500 Fondren Rd
Suite Number 255
Houston, TX 77063-2308
Phone (832) 769-3313

Other identifiers 1

IdentifierTypeStateIssuer
TXB164779OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151118000809 TX Part B Supplier - Clinic/Group Practice 4981904299 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

2500 Fondren Rd
Ste 255
Houston, TX 77063
Phone (713) 781-0019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1356712095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "address_2": "SUITE NUMBER 255",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632308",
            "telephone_number": "832-769-3313",
            "fax_number": "832-769-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "address_2": "SUITE NUMBER 255",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632308",
            "telephone_number": "832-769-3313",
            "fax_number": "832-769-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL C VANBIBER MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "VANBIBER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-769-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "G5728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB164779",
            "state": "TX"
        }
    ],
    "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 Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.