Organization Active NPI

Gordon Bellah Jr MD

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1457411985
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F1377 Issued in TX
Legal business name
GORDON BELLAH JR MD
Practice address
2060 Space Park Dr Ste 204
Houston, TX 77058-3674
Phone
(281) 333-1800
Fax
(281) 335-1789
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
Gordon Bellah Jr., M.D.NPI 1194169912
Title
MD Owner
Phone
(281) 333-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X F1377 TX Primary

Addresses

Primary practice location

2060 Space Park Dr Ste 204
Houston, TX 77058-3674

Mailing address

2060 Space Park Dr Ste 204
Houston, TX 77058-3674
Phone (281) 333-1800

National Provider Directory

National Provider Directory

Locations

2060 Space Park Dr
Ste 204
Houston, TX 77058
Phone (281) 333-1800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1457411985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 SPACE PARK DR STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583674",
            "telephone_number": "281-333-1800",
            "fax_number": "281-335-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 SPACE PARK DR STE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583674",
            "telephone_number": "281-333-1800",
            "fax_number": "281-335-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON BELLAH JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "BELLAH",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "281-333-1800",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F1377",
            "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 Apr 23, 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.

Verify at the official NPI Registry.