Individual provider Active NPI

Long Le, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1477620722
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5321 Issued in TX
Practice address
14907 Olde Manor LN
Houston, TX 77068-2132
Phone
(281) 971-5858
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5321 TX Primary

Addresses

Primary practice location

14907 Olde Manor LN
Houston, TX 77068-2132

Mailing address

14907 Olde Manor LN
Houston, TX 77068-2132
Phone (281) 971-5858

Other identifiers 1

IdentifierTypeStateIssuer
8S6478OtherTXBCBS

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5321TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Emergency Medicine Associates PA Past Accepting new patients
Texas ER Group PLLC Past Accepting new patients
Long Le MD & Associates PA Family Medicine PastSince Aug 15, 2012 Accepting new patients
Bonner Emergency Medicine Associates PA Past Accepting new patients
Brazos Valley Emergency Physicians PA Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1477620722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14907 OLDE MANOR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682132",
            "telephone_number": "281-971-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14907 OLDE MANOR LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770682132",
            "telephone_number": "281-971-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "LONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8S6478",
            "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 Nov 19, 2009; 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.