Organization Active NPI

Liver, Kidney and Internal Medicine Center

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1639353121
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIVER, KIDNEY AND INTERNAL MEDICINE CENTER
Practice address
837 Cypress Creek Pkwy Ste 105
Houston, TX 77090-3422
Phone
(713) 635-6996
Fax
(713) 635-6994
NPI assigned
Dec 20, 2007
Organization subpart
Yes
Parent organization
LIVER, KIDNEY AND INTERNAL MEDICINE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Bryan C LipsenNPI 1437150083
Title
Solo Practioner/Owner
Phone
(731) 635-6996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

837 Cypress Creek Pkwy Ste 105
Houston, TX 77090-3422

Mailing address

2261 Northpark Dr # 530
Kingwood, TX 77339-1744
Phone (713) 635-6996

Other identifiers 1

IdentifierTypeStateIssuer
171704302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050119000667 TX Part B Supplier - Clinic/Group Practice 0547219347 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Liver Kidney Internal Med2 organizations share this tax ID, including this one
Part of
Liver Kidney Internal Med

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5116 Bissonnet
Ste 327
Bellaire, TX 77401
Phone (713) 666-2004

5116 Bissonnet St
327
Bellaire, TX 77401

7552 Homestead Rd
Houston, TX 77028
Phone (713) 635-6996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1639353121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 NORTHPARK DR # 530",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773391744",
            "telephone_number": "713-635-6996",
            "fax_number": "713-635-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 CYPRESS CREEK PKWY STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903422",
            "telephone_number": "713-635-6996",
            "fax_number": "713-635-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVER, KIDNEY AND INTERNAL MEDICINE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVER, KIDNEY AND INTERNAL MEDICINE CENTER",
        "enumeration_date": "2007-12-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "LIPSEN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLO PRACTIONER/OWNER",
        "authorized_official_telephone_number": "731-635-6996"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171704302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.