NPIMap

Individual provider Active NPI

Brian McNelis, M.D.

  • Family Medicine Physician
  • Huntsville, TX
National Provider Identifier
1447639174
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R0280 Issued in TX
Practice address
110 Memorial Dr
Huntsville, TX 77340-4940
Phone
(877) 832-2652
Fax
(361) 371-8376
NPI assigned
May 27, 2015
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R0280 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X BP10053874 TX

Addresses

Primary practice location

110 Memorial Dr
Huntsville, TX 77340-4940

Mailing address

605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004

Other practice location 1

605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171122000206 TX Practitioner - Family Practice 6709182652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHA Hospital Medicine of Texas PLLCGroup PAC ID 7618329079, 27 clinicians

Practice addresses (Care Compare)

110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Phone (877) 832-2652

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HHA Hospital Medicine of Texas PLLC CurrentSince Jan 23, 2024 Accepting new patients
Huntsville Community Hospital, Inc. Past Accepting new patients
Corpus Christi Hospitalists, PLLC Past Accepting new patients

Locations

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

Interoperability endpoints

  • Direct secure messaging: bmcnelis@yourcarecommunity.org

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1447639174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CONROE MEDICAL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044722",
            "telephone_number": "936-539-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MEMORIAL DR",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404940",
            "telephone_number": "877-832-2652",
            "fax_number": "361-371-8376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S Conroe Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773044722",
            "country_code": "US",
            "telephone_number": "936-539-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNELIS",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0280",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10053874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.