Individual provider Active NPI

Brittany Nicole Hodgson, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1376956227
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R4238 Issued in TX
Practice address
3517 Irvington Blvd Ste 200
Houston, TX 77009-5700
Phone
(832) 548-0000
Fax
(832) 213-0271
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125-064937 IL
Pediatrics Physician 208000000X R4238 TX Primary

Addresses

Primary practice location

3517 Irvington Blvd Ste 200
Houston, TX 77009-5700

Mailing address

3517 Irvington Blvd Ste 200
Houston, TX 77009-5700
Phone (832) 548-0000

Other practice location 1

1415 California St
Houston, TX 77006
Phone (832) 548-5000

Other practice location 2

1415 California St
Houston, TX 77006
Phone (832) 548-5000

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
I20171114001129 TX Practitioner - Pediatric Medicine 0345544086 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-064937ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc Pediatrics CurrentSince Oct 25, 2017 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Oct 25, 2017 Accepting new patients

Locations

3517 Irvington Blvd
Ste 200
Houston, TX 77009
Phone (713) 814-3590

1415 California St
Houston, TX 77006
Phone (713) 665-8800

5420 Dashwood Dr
Ste 100
Houston, TX 77081
Phone (713) 486-2900

5602 Lyons Ave
Houston, TX 77020
Phone (713) 670-0614

5420 Dashwood Dr
Ste 102
Houston, TX 77081
Phone (713) 486-2990

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1376956227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 IRVINGTON BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770095700",
            "telephone_number": "832-548-0000",
            "fax_number": "832-213-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 IRVINGTON BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770095700",
            "telephone_number": "832-548-0000",
            "fax_number": "832-213-0271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 California St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77006",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "fax_number": "832-548-5285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 California St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77006",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "fax_number": "832-548-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGSON",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-064937",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R4238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.