Organization Active NPI

North Belt East Medical Clinic PA

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1386707917
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH BELT EAST MEDICAL CLINIC PA
Practice address
134 Vintage Park Blvd Ste A15
Houston, TX 77070-3998
Phone
(281) 272-1743
Fax
(281) 272-1758
NPI assigned
Dec 18, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brannon George, MDNPI 1891093662
Title
Owner
Phone
(281) 272-1743

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

134 Vintage Park Blvd Ste A15
Houston, TX 77070-3998

Mailing address

134 Vintage Park Blvd Ste A15
Houston, TX 77070-3998
Phone (281) 272-1743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060313000693 TX Part B Supplier - Clinic/Group Practice 8628094984 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

530 N Sam Houston Pkwy E
Ste 230
Houston, TX 77060
Phone (281) 272-1743

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1386707917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VINTAGE PARK BLVD STE A15",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703998",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 VINTAGE PARK BLVD STE A15",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703998",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BELT EAST MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-07-21",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "BRANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-272-1743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.