Bryan Jay Blonder, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

K6990 Issued in TX

Practice address

4911 Sand Hill Dr
Sugar Land, TX 77479

Phone

(281) 634-9600

Fax

(281) 634-9601

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Obstetrics/Gynecology

Education

New York College of Osteo Medicine of New York Institute of Technology, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sweetwater OBGYN Associates LTD., LLPGroup PAC ID 8921165291, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
• Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

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.

• Sweetwater OBGYN Associates LTD., LLP

  • Obstetrics & Gynecology Physician
  • Sugar Land, TX
  • NPI 1467577411
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hermann Health System

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735
  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1497871628
  Care Compare affiliation

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1487624540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 SAND HILL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-634-9600",
            "fax_number": "281-634-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 SAND HILL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-634-9600",
            "fax_number": "281-634-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLONDER",
        "first_name": "BRYAN",
        "middle_name": "JAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K6990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Blahuta
• Ronald Blancett, PT
• Blessed Community Living Center Inc
• Dietra Blevins, CNIM
• Marolyn J. Block, M.S.
• Bloomfield Ventures Corporation
• Blooming Bonnets, LLC
• Blossoms Living Center
• Blue Angel Psychiatry Healthcare PLLC
• Blue Care LLC

• Obstetrics & Gynecology Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.