Individual provider Active NPI

Bradley Banion, CSFA

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1437780491
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
193677 Issued in FL
Practice address
7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053
Phone
(832) 804-8716
Fax
(832) 804-8716
NPI assigned
Jan 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 193677 FL Primary

Addresses

Primary practice location

7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053

Mailing address

7324 Southwest Fwy Ste 1550
Houston, TX 77074-2053
Phone (832) 804-8716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
193677FLMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1437780491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 1550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742053",
            "telephone_number": "832-804-8716",
            "fax_number": "832-804-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 1550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742053",
            "telephone_number": "832-804-8716",
            "fax_number": "832-804-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANION",
        "first_name": "BRADLEY",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "193677",
            "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 Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.