Individual provider Active NPI

Harvey Resnick, M.D.

  • Family Medicine Physician
  • Lake Jackson, TX
National Provider Identifier
1366455354
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D2957 Issued in TX
Practice address
201 Oak Dr South
#107
Lake Jackson, TX 77566-5626
Phone
(979) 297-0028
Fax
(979) 297-0504
NPI assigned
Aug 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 D2957 TX Primary

Addresses

Primary practice location

201 Oak Dr South
#107
Lake Jackson, TX 77566-5626

Mailing address

201 Oak Dr South
#107
Lake Jackson, TX 77566-5626
Phone (979) 297-0028

Other identifiers 2

IdentifierTypeStateIssuer
082258701MedicaidTX
741649666OtherTXTAX ID #

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
I20080411000060 TX Practitioner - Family Practice 8224070446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1964
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1111 W Adoue St
Alvin, TX 77511-2718
Phone 28182414801594

201 Oak S Dr
Suite 107
Lake Jackson, TX 77566-5626
Phone (979) 297-0028

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue151
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen F. Austin Community Health Center, Inc. CurrentSince Mar 20, 2025 Accepting new patients
Dr. Harvey Resnick, Assoc. Family Medicine CurrentSince Jun 20, 1984 Accepting new patients
Stephen F Austin Community Health Center,Inc CurrentSince Mar 20, 2025 Accepting new patients

Locations

1111 W Adoue St
Alvin, TX 77511
Phone 2818241480 ext. 1594

201 Oak Dr S
Ste 107
Lake Jackson, TX 77566
Phone (713) 297-0028

Organizations & group practices 3

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.

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366455354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK DR SOUTH",
            "address_2": "#107",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665626",
            "telephone_number": "979-297-0028",
            "fax_number": "979-297-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK DR SOUTH",
            "address_2": "#107",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665626",
            "telephone_number": "979-297-0028",
            "fax_number": "979-297-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D2957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082258701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "741649666",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.