Individual provider Active NPI

Albert H Braden III, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1639260920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
E8350 Issued in TX
Practice address
3400 Bissonnet St Ste 100
Houston, TX 77005-2153
Phone
(713) 662-2777
Fax
(713) 665-6227
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E8350 TX Primary

Addresses

Primary practice location

3400 Bissonnet St Ste 100
Houston, TX 77005-2153

Mailing address

3400 Bissonnet St Ste 100
Houston, TX 77005-2153
Phone (713) 662-2777

Other identifiers 1

IdentifierTypeStateIssuer
89Y980OtherTXBLUE CROSS BLUE SHIELD

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
I20110301001045 TX Practitioner - Internal Medicine 1557257730 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E8350TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West University Internal Medicine, P.L.L.C. Internal Medicine CurrentSince Jan 1, 1978 Accepting new patients

Locations

3400 Bissonnet St
Ste 100
Houston, TX 77005
Phone (713) 662-2777

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639260920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BISSONNET ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052153",
            "telephone_number": "713-662-2777",
            "fax_number": "713-665-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BISSONNET ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052153",
            "telephone_number": "713-662-2777",
            "fax_number": "713-665-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "ALBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E8350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "89Y980",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.