NPIMap

Individual provider Active NPI

Bryan Thomas Prange, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1467696633
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
M6347 Issued in TX
Practice address
7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone
(713) 621-7436
Fax
(713) 963-9051
NPI assigned
May 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X M6347 TX
Diagnostic Radiology Physician 2085R0202X M6347 TX Primary

Addresses

Primary practice location

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187

Mailing address

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone (713) 621-7436

Other identifiers 1

IdentifierTypeStateIssuer
2184426-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101130001424 TX Practitioner - Diagnostic Radiology 9638365745 Reassigns benefits to 4 organizations
I20260413001992 AZ Practitioner - Diagnostic Radiology 9638365745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

Pearland, TX 77584
Phone (405) 334-5226

12307 Baymeadow CT
Pearland, TX 77584-4305
Phone (832) 915-2534

3711 Quiet Falls Dr
Manvel, TX 77578-4968
Phone (281) 305-4657

6720 Bertner Ave
MC2 270
Houston, TX 77030-2604
Phone (281) 466-4401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M6347TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Eagle Partners, PLLC Body Imaging CurrentSince May 17, 2025 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Synergy Radiology Associates PLLC Body Imaging CurrentSince Jul 1, 2010 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540

8310 W Camelback Rd
Glendale, AZ 85305
Phone (480) 307-9610

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

251 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 322-6900

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1467696633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-621-7436",
            "fax_number": "713-963-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-621-7436",
            "fax_number": "713-963-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANGE",
        "first_name": "BRYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-01",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "M6347",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M6347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2184426-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.