Individual provider Active NPI

Amani Bariki Brown, PA-C

  • Physician Assistant
  • League City, TX
National Provider Identifier
1548825532
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12743 Issued in TX
Practice address
2560 E League City Pkwy Ste B
League City, TX 77573-6459
Phone
(817) 838-1622
NPI assigned
May 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X PA12743 TX
Physician Assistant 363A00000X PA12743 TX Primary

Addresses

Primary practice location

2560 E League City Pkwy Ste B
League City, TX 77573-6459

Mailing address

5718 Westheimer Rd Ste 400
Houston, TX 77057-5733

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018002249 TX Practitioner - Physician Assistant 1850622093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians
Next Level MV LLCGroup PAC ID 5991062085, 124 clinicians

Practice addresses (Care Compare)

1246 N FM 3083 Rd W
Suite B
Conroe, TX 77304-5340
Phone (281) 783-8162

4936 Beechnut St
Houston, TX 77096-1605
Phone (281) 783-8162

5211 FM 2920 Rd
Suite 101
Spring, TX 77388-3004
Phone (281) 783-8162

5749 San Felipe St
Houston, TX 77057-3101
Phone (281) 783-8162

7120 FM 1960 Rd E
Humble, TX 77346-2702
Phone (281) 783-8162

7710 Garth Rd
Suite a
Baytown, TX 77521-8809
Phone (281) 783-8162

8100 Hwy 6 N
Suite E
Houston, TX 77095-1923
Phone (281) 783-8162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA12743TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Oct 27, 2022 Accepting new patients
Next Level MV LLC CurrentSince Oct 27, 2022 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5718 Westheimer Rd
Ste 1800
Houston, TX 77057

2560 E League City Pkwy
#B
League City, TX 77573
Phone (817) 838-1622

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

4002 FM 762 Rd
Ste 100
Rosenberg, TX 77469

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

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.

NPI Registry JSON

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

{
    "created_epoch": "1557014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1548825532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 WESTHEIMER RD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 E LEAGUE CITY PKWY STE B",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736459",
            "telephone_number": "817-838-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMANI",
        "middle_name": "BARIKI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-05",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "PA12743",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.