Individual provider Active NPI

Mark Denton Westbrook, MD

  • Family Medicine Physician
  • Spring, TX
National Provider Identifier
1548258734
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G3902 Issued in TX
Practice address
21309 Foster Rd Ste 100
Spring, TX 77388-4209
Phone
(281) 587-1700
Fax
(281) 907-6003
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 G3902 TX Primary

Addresses

Primary practice location

21309 Foster Rd Ste 100
Spring, TX 77388-4209

Mailing address

21309 Foster Rd Ste 100
Spring, TX 77388-4209
Phone (281) 587-1700

Other practice location 1

11026 Highway 242
Conroe, TX 77385-4348
Phone (281) 587-1700

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
I20040325000499 TX Practitioner - Family Practice 8325930407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ikp Family Medicine, P.a.Group PAC ID 4284672478, 7 clinicians

Practice addresses (Care Compare)

11026 Hwy 242
Conroe, TX 77385-4348
Phone (281) 587-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G3902TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ikp Family Medicine, P.a. Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Ikp Family Medicine P.a. Family Medicine CurrentSince Oct 1, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

11026 Highway 242
Conroe, TX 77385
Phone (281) 587-1700

21309 Foster Rd
#100
Spring, TX 77388
Phone (281) 587-1700

17350 St Lukes Way
Ste 430
The Woodlands, TX 77384
Phone (281) 587-1700

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1548258734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11026 Highway 242",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773854348",
            "country_code": "US",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTBROOK",
        "first_name": "MARK",
        "middle_name": "DENTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-09-08",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.