Bradley D. Leatherwood, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

M3625 Issued in TX

Practice address

1022 E 6TH 1/2 St
Houston, TX 77009-7328

Phone

(713) 614-3172

Fax

(281) 888-5754

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

Anesthesiology

Education

University of Texas Medical School at Houston, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Anesthesia Providers, PLLCGroup PAC ID 0547529596, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Dynamic Anesthesia Providers PLLC

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1346752326
  Medicare reassignment Care Compare group NPD
• Compass Anesthesia Providers PLLC

  • Anesthesiology Physician
  • Webster, TX
  • NPI 1669829750
  Medicare reassignment NPD
• Harlingen Anesthesia Associates

  • Anesthesiology Physician
  • Harlingen, TX
  • NPI 1093727455
  NPD (past)
• Harlingen Anesthesia Associates

  • Anesthesiology Physician
  • Harlingen, TX
  • NPI 1114191376
  NPD (past)
• Pasadena Pain Management Consultants, PA.

  • Interventional Pain Medicine Physician
  • Pasadena, TX
  • NPI 1760566749
  NPD (past)
• Principle Anesthesia PLLC

  • Anesthesiology Physician
  • Pasadena, TX
  • NPI 1720315260
  NPD (past)
• RPK Anesthesia PA

  • Anesthesiology Physician
  • Pasadena, TX
  • NPI 1679657654
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1508822263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E 6TH 1/2 ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097328",
            "telephone_number": "713-614-3172",
            "fax_number": "281-888-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E 6TH 1/2 ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770097328",
            "telephone_number": "713-614-3172",
            "fax_number": "281-888-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERWOOD",
        "first_name": "BRADLEY",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "46454",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M3625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason T. Leaseburg, M.D.
• Donald Leon Leass, M.D.
• Noah Nicholas Leasure
• Robert M. Leath, M.D., R.PH.
• Eufemia Leathers, NP
• Darrin Wayne Leatherwood, P.T.
• Ashlee Leaumont, RN
• Kristian Leavell, LCSW
• Carrie M Leavitt, PT
• David Leavitt

• Anesthesiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.