Acorn Medical Home

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ACORN MEDICAL HOME

Practice address

1650 Texas Ave Ste G
Bridge City, TX 77611-3501

Phone

(833) 698-6825

Fax

(409) 792-5523

NPI assigned

May 27, 2022

Last updated

Jan 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Morgan Bender

Title

Ceo

Phone

(833) 698-6825

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IN, IL3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Rosimeire Beer, APRN

  • Acute Care Nurse Practitioner
  • Austin, TX
  • NPI 1063883874
  Medicare reassignment Care Compare group NPD
• Marni G Underwood, APRN

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1891797304
  Medicare reassignment Care Compare group NPD
• Caitlin Joy Veazey, FNP-C

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1295259679
  Medicare reassignment Care Compare group NPD
• Ibrahim Mansour, M.D

  • Internal Medicine Physician
  • Astoria, NY
  • NPI 1578807590

  TX

  Medicare reassignment Care Compare group NPD
• Adam Jaynes, FNP

  • Family Nurse Practitioner
  • Nederland, TX
  • NPI 1154875441
  Medicare reassignment NPD
• Kristen Kinney, FNP

  • Family Nurse Practitioner
  • La Grange, TX
  • NPI 1033675038
  Medicare reassignment NPD
• Kyle David Peterson, MD

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1922335199
  Medicare reassignment NPD
• Beverly Ann Prejean, NP-C

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1184961856
  Medicare reassignment NPD
• Kelsi Strahan

  • Family Nurse Practitioner
  • Lumberton, TX
  • NPI 1770134363
  Medicare reassignment NPD
• Asif Hussain Farooqui, M.D.

  • Internal Medicine Physician
  • Highland, IN
  • NPI 1902865421
  Medicare reassignment NPD
• Chirag Patel, D.O.

  • Family Medicine Physician
  • Markham, IL
  • NPI 1942324298
  Medicare reassignment NPD
• Matthew Carter, APRN

  • Nurse Practitioner
  • Beaumont, TX
  • NPI 1437614641
  NPD (past)

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1457099558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TEXAS AVE STE G",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 TEXAS AVE STE G",
            "city": "BRIDGE CITY",
            "state": "TX",
            "postal_code": "776113501",
            "telephone_number": "833-698-6825",
            "fax_number": "409-792-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN MEDICAL HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-698-6825"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Dental
• Alex Edgerly, DDS, PLLC (Edgerly Dentistry)
• Emily Allen, FNP-C
• Kimberly Ann Allen, APRN, FNP-C, RN
• Anand B. Movva, MD.,PA

• Family Medicine Physician in Bridge City, TX
• Providers in Bridge City, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.