Active NPI
Brenda Leigh Booth, OPA
- Surgical Physician Assistant
- Sugar Land, TX
National Provider Identifier
1447597034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1119
- Practice address
- 14090 Southwest Fwy Ste 130
Sugar Land, TX 77478-3683 - Phone
- (281) 491-7111
- Fax
- (281) 491-0033
- NPI assigned
- Jan 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1119 | TX | Primary |
Addresses
Primary practice location
14090 Southwest Fwy Ste 130
Sugar Land, TX 77478-3683
Mailing address
14090 Southwest Fwy Ste 130
Sugar Land, TX 77478-3683
Phone (281) 491-7111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1119 | TX | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358294400000",
"number": "1447597034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14090 SOUTHWEST FWY STE 130",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783683",
"telephone_number": "281-491-7111",
"fax_number": "281-491-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14090 SOUTHWEST FWY STE 130",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783683",
"telephone_number": "281-491-7111",
"fax_number": "281-491-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "BRENDA",
"middle_name": "LEIGH",
"credential": "OPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-16",
"last_updated": "2013-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "1119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.