Deidre Bynum, EIS P

Individual provider Active NPI Specialist · Angleton, TX

NPI 1477523181 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1477523181
Entity type
Individual (NPI type 1)
Primary specialty
Specialist 174400000X
License
032401 (TX)
Practice address
120 Hospital
Angleton, TX 77515
Phone
(979) 849-2447
Fax
(979) 848-8337
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
032401TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brazoria County Association for Children'S Habilitation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 032401 TX Yes

Addresses

Primary practice location

120 Hospital
Angleton, TX 77515

Mailing address

120 Hospital Drive
Angleton, TX 77515
Phone (979) 849-2447

Other providers in Angleton, TX

All providers in Angleton, TX · Specialist in Texas

Sources for this page

Verify at the official NPI Registry.