Individual provider Active NPI

Sammuel Bharksuwan, M.D.

  • Obstetrics & Gynecology Physician
  • Brenham, TX
National Provider Identifier
1467404590
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K4636 Issued in TX
Practice address
604 Highway 290 W
Brenham, TX 77833-5432
Phone
(979) 421-2000
Fax
(979) 421-9678
NPI assigned
May 17, 2006
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K4636 TX Primary

Addresses

Primary practice location

604 Highway 290 W
Brenham, TX 77833-5432

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other identifiers 2

IdentifierTypeStateIssuer
0430076-02MedicaidTX
K4636OtherTXTEXAS MEDICAL LICENSE

Other names 1

  • Samuel Bharksuwan Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbharksuwan1516079@direct.sw.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000119 TX Practitioner - Obstetrics/Gynecology 2860476934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

1280 Arrington Rd
Suite 200
College Station, TX 77845-8696
Phone (979) 207-6550

2255 E Mossy Oaks Rd
Suite 430
Spring, TX 77389-1812
Phone (281) 609-2800

604 Hwy 290 W
Baylor Scott and White Clinic Brenh
Brenham, TX 77833-5432
Phone (979) 337-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K4636TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Obstetrics & Gynecology CurrentSince Mar 10, 2026 Accepting new patients
Scott & White Clinic Obstetrics & Gynecology CurrentSince Mar 10, 2026 Accepting new patients
Samuel Bharksuwan, M.D.P.a. CurrentSince Sep 9, 2002 Accepting new patients
Family Practice Medical Associates of Texas, P.a. Past Accepting new patients

Locations

604 Highway 290 W
Brenham, TX 77833
Phone (979) 251-8005

17070 Red Oak Dr
Ste 505
Houston, TX 77090
Phone (281) 440-1796

411 Lantern Bend Dr
Ste 240
Houston, TX 77090
Phone (281) 444-6300

2255 E Mossy Oaks Rd
Ste 430
Spring, TX 77389
Phone (281) 587-1300

9303 Pinecroft Dr
Ste 380
The Woodlands, TX 77380
Phone (281) 587-1300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11954/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samuel.bharksuwan.1@11954.direct.athenahealth.com
  • Direct secure messaging: sbharksuwan1516079@direct.sw.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 3

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1467404590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 HIGHWAY 290 W",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335432",
            "telephone_number": "979-421-2000",
            "fax_number": "979-421-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHARKSUWAN",
        "first_name": "SAMMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K4636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0430076-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "K4636",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbharksuwan1516079@direct.sw.org",
            "affiliation": "N",
            "address_1": "604 Highway 290 W",
            "city": "Brenham",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778335432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "BHARKSUWAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.