Individual provider Active NPI

Edewor Bernaed Osevwe, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1386939429
Registry record updated Apr 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202205752NP-PP Issued in OR
Practice address
6302 Broadway St Ste 130
Pearland, TX 77581-7859
Phone
(832) 438-0330
NPI assigned
Jun 16, 2011
Last updated
Apr 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1061917 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202205752NP-PP OR Primary

Addresses

Primary practice location

6302 Broadway St Ste 130
Pearland, TX 77581-7859

Mailing address

6302 Broadway St Ste 130
Pearland, TX 77581-7859
Phone (832) 438-0330

Other practice location 1

10350 N Vancouver Way
Portland, OR 97217-7530
Phone (832) 438-0330

Other identifiers 3

IdentifierTypeStateIssuer
043103013OtherILBLUE CROSS BLUE SHIELD
2009039423MedicaidMO
043103013MedicaidIL

Other names 1

  • Mr. Edewor Bernard Osevwe Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edewor.osevwe@va.gov Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, AZ, WA, CA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220608000588 TX Practitioner - Nurse Practitioner 8426436155 Reassigns benefits to 5 organizations
I20220906001052 OR Practitioner - Nurse Practitioner 8426436155 Reassigns benefits to 2 organizations
I20220928000611 AZ Practitioner - Nurse Practitioner 8426436155 Reassigns benefits to 2 organizations
I20221212002270 WA Practitioner - Nurse Practitioner 8426436155 Reassigns benefits to 1 organization
I20240311000343 CA Practitioner - Nurse Practitioner 8426436155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bee Focus Iop, LLCGroup PAC ID 7113365453, 2 clinicians

Practice addresses (Care Compare)

6302 Broadway St
Suite 130
Pearland, TX 77581-7859
Phone (832) 882-8017

9896 Bissonnet St
Suite 210
Houston, TX 77036-8104

9896 Bissonnet St
Suite 510
Houston, TX 77036-8156
Phone (832) 776-4488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Border Region MH Mr Community Center CurrentSince Oct 1, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 28, 2023 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Holy Trinity Behavioral Health Current Accepting new patients
US Multi-Specialty Group Psychiatric/Mental Health CurrentSince Mar 1, 2024 Accepting new patients
Bee Focus Iop, LLC CurrentSince Oct 1, 2024 Accepting new patients
Enlighten Wellness PLLC Psychiatric/Mental Health CurrentSince Feb 10, 2025 Accepting new patients
Solid Foundation Psychiatry PLLC Psychiatric/Mental Health CurrentSince May 1, 2022 Accepting new patients
Enlighten Psychiatry, PLLC CurrentSince Feb 10, 2025 Accepting new patients
Bee Focus Transportation LLC Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1500 NE Irving St
Ste 210
Portland, OR 97232
Phone (425) 477-4215

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

4295 San Felipe St
Ste 205B
Houston, TX 77027
Phone (346) 530-7608

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

9896 Bissonnet St
Ste 510
Houston, TX 77036
Phone (832) 570-3506

6302 Broadway St
Ste 130
Pearland, TX 77581
Phone (281) 485-0820

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 11

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713657600000",
    "number": "1386939429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 BROADWAY ST STE 130",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775817859",
            "telephone_number": "832-438-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 BROADWAY ST STE 130",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775817859",
            "telephone_number": "832-438-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10350 N Vancouver Way",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972177530",
            "country_code": "US",
            "telephone_number": "832-438-0330",
            "fax_number": "832-318-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSEVWE",
        "first_name": "EDEWOR",
        "middle_name": "BERNAED",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-04-21",
        "certification_date": "2024-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1061917",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202205752NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "043103013",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009039423",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043103013",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edewor.osevwe@va.gov",
            "affiliation": "N",
            "endpointDescription": "edewor.osevwe@va.gov",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "edewor.osevwe@va.gov",
            "address_1": "3 Garden Springs Ct",
            "address_2": "Manvel",
            "city": "Manvel",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775782639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EDEWOR",
            "last_name": "OSEVWE",
            "middle_name": "BERNARD",
            "prefix": "MR.",
            "credential": "NP BEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.