Individual provider Active NPI

Brian Maneevese, MD

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1376738286
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N5833 Issued in TX
Practice address
4801 Alberta Avenue
Suite B3200
El Paso, TX 79905
Phone
(915) 545-7330
NPI assigned
Sep 13, 2007
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X BP10028121 TX
Emergency Medicine Physician 207P00000X N5833 TX Primary

Addresses

Primary practice location

4801 Alberta Avenue
Suite B3200
El Paso, TX 79905

Mailing address

5430 Spanish Oak Dr
Houston, TX 77066-2823

Other identifiers 4

IdentifierTypeStateIssuer
1376738286OtherTXBCBS TX
8CK829OtherBCBS TX
1376738286OtherTRICARE SOUTH
215528501MedicaidTX

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
I20101026001350 TX Practitioner - Emergency Medicine 7810180502 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10028121TXMDEmergency Medicine Physician
N5833TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Bay Area Emergency Partners Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
TK Emergency Physicians Group PLLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Fastpass Ucdfw, PLLC Past Accepting new patients
Singleton Associates PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1626 W Baker Rd
Baytown, TX 77521
Phone (281) 628-7300

1103 E Houston St
Cleveland, TX 77327
Phone (281) 593-8350

14120 FM 2100 Rd
Crosby, TX 77532
Phone (281) 328-7770

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

10655 Steepletop Dr
Houston, TX 77065
Phone (281) 890-4285

6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300

14476 Hillcroft Ave
Houston, TX 77085
Phone (346) 802-6450

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

6002 Fairmont Pkwy
Pasadena, TX 77505
Phone (713) 359-2100

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

11233 Shadow Creek Pkwy
Ste 313
Pearland, TX 77584
Phone (346) 352-5100

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

22678 Highway 59
Porter, TX 77365
Phone (281) 354-4654

400 Enterprise Blvd
Ste 3
Rockport, TX 78382
Phone (361) 529-9401

400 Enterprise Blvd
Ste A100
Rockport, TX 78382
Phone (361) 529-9400

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

Organizations & group practices 6

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": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1376738286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 SPANISH OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770662823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ALBERTA AVENUE",
            "address_2": "SUITE B3200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79905",
            "telephone_number": "915-545-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEEVESE",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-13",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10028121",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N5833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "1376738286",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "8CK829",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1376738286",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "215528501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.