Organization Active NPI

Bellaire Gessner Medical Clinic

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1467769976
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BELLAIRE GESSNER MEDICAL CLINIC
Practice address
9630 Clarewood Dr Ste A5
Houston, TX 77036-3535
Phone
(713) 981-6588
Fax
(713) 981-8978
NPI assigned
Sep 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Ms. Donna S Smith
Title
Billing Supervisor
Phone
(713) 981-8989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9630 Clarewood Dr Ste A5
Houston, TX 77036-3535

Mailing address

9630 Clarewood Dr Ste A5
Houston, TX 77036-3535
Phone (713) 981-6588

Other identifiers 3

IdentifierTypeStateIssuer
080187001MedicaidTX
098830503MedicaidTX
098830502MedicaidTX

National Provider Directory

National Provider Directory

Locations

9630 Clarewood Dr
Ste A5
Houston, TX 77036
Phone (713) 777-8202

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1467769976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR STE A5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363535",
            "telephone_number": "713-981-6588",
            "fax_number": "713-981-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 CLAREWOOD DR STE A5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363535",
            "telephone_number": "713-981-6588",
            "fax_number": "713-981-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE GESSNER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "713-981-8989",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080187001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098830503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098830502",
            "state": "TX"
        }
    ],
    "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 Sep 3, 2010; 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.