Individual provider Active NPI

Bonnie Elizabeth Colville, D.O.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1477783744
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3962 Issued in TX
Practice address
2002 Holcombe Blvd
Houston, TX 77030-4211
Phone
(281) 782-3098
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S3962 TX Primary
Family Medicine Physician 207Q00000X 20A13476 CA

Addresses

Primary practice location

2002 Holcombe Blvd
Houston, TX 77030-4211

Mailing address

2002 Holcombe Blvd
Houston, TX 77030-4211
Phone (281) 782-3098

Other practice location 1

1905 Jacquelyn Dr # 101
Houston, TX 77055-2502
Phone (713) 462-6565

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
I20200203001459 TX Practitioner - Family Practice 4587988548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern Univ College of Dental Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1905 Jacquelyn Dr
Houston, TX 77055-2502
Phone (713) 462-6565

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13476CAMDProfessional Counselor
20A13476CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Branch Community Health Center Current Accepting new patients
Spring Branch Community Health Center CurrentSince Nov 1, 2025 Accepting new patients
Spring Branch Community Health Center CurrentSince Nov 1, 2025 Accepting new patients
Spring Branch Community Health Center PastSince Nov 8, 2020 Accepting new patients

Locations

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

19333 Clay Rd
Katy, TX 77449
Phone (713) 462-6555

5502 1st St
Katy, TX 77493
Phone 7134626565127

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1477783744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "281-782-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "281-782-3098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 Jacquelyn Dr # 101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770552502",
            "country_code": "US",
            "telephone_number": "713-462-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLVILLE",
        "first_name": "BONNIE",
        "middle_name": "ELIZABETH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3962",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A13476",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.