Individual provider Active NPI

Brett W Stephens, M.D.

  • Nephrology Physician
  • Humble, TX
National Provider Identifier
1508805219
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M3751 Issued in TX
Practice address
8411 FM 1960 Bypass Rd W
Humble, TX 77338-4013
Phone
(346) 616-5862
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M3751 TX
Nephrology Physician 207RN0300X M3751 TX Primary

Addresses

Primary practice location

8411 FM 1960 Bypass Rd W
Humble, TX 77338-4013

Mailing address

8411 FM 1960 Bypass Rd W
Humble, TX 77338-4013
Phone (346) 616-5862

Other identifiers 2

IdentifierTypeStateIssuer
8J0779OtherTXBCBSTX
182211601MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR

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
I20060829000426 TX Practitioner - NephrologyPractitioner - Internal Medicine 3072517317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ruchdi Barakat, M.D., P.a.Group PAC ID 0648329532, 4 clinicians

Practice addresses (Care Compare)

8411 FM 1960 Bypass Rd W
Suite a
Humble, TX 77338-4013
Phone (713) 820-0806

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M3751TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ruchdi Barakat, M.D., P.a. Nephrology CurrentSince Aug 15, 2013 Accepting new patients

Locations

9810 FM 1960 Bypass Rd W
Ste 165
Humble, TX 77338
Phone (281) 570-2575

8411 FM 1960 Bypass Rd W
Ste B
Humble, TX 77338
Phone (346) 616-5862

8411 FM 1960 Bypass Rd W
Ste A
Humble, TX 77338
Phone (346) 214-1743

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1508805219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 FM 1960 BYPASS RD W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384013",
            "telephone_number": "346-616-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 FM 1960 BYPASS RD W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384013",
            "telephone_number": "346-616-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "BRETT",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M3751",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M3751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8J0779",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182211601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "8411 Fm 1960 Bypass Rd W",
            "city": "Humble",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773384013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.