Jean Bombach, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K2853 Issued in TX

Practice address

7001 Corporate Dr
Ste 120
Houston, TX 77036-5192

Phone

(713) 773-0803

Fax

(713) 271-5422

NPI assigned

Jun 1, 2005

Last updated

Nov 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Asian American Health Coalition of the Greater Houston Area

  dba Hope Clinic

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1699966754
  Medicare reassignment NPD
• Asian American Health Coalition of the Greater Houston Area

  dba HOPE Health Pharmacy

  • Pharmacy
  • Houston, TX
  • NPI 1174236632
  NPD
• Asian American Health Coalition of the Greater Houston Area

  dba HOPE Clinic

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
  • NPI 1972239341
  NPD
• Baytown Urgent Care

  • Urgent Care Clinic/Center
  • Baytown, TX
  • NPI 1013938133
  NPD (past)
• Sweeny Hospital District

  dba The Colonnades at Reflection Bay

  • Skilled Nursing Facility
  • Pearland, TX
  • NPI 1518355387
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1689676827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR",
            "address_2": "STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365192",
            "telephone_number": "713-773-0803",
            "fax_number": "713-271-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR",
            "address_2": "STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365192",
            "telephone_number": "713-773-0803",
            "fax_number": "713-271-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBACH",
        "first_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039074201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Boltz
• Roger Boltz, OD.
• Bolu Group LLC
• Bolville LLC (Bolville)
• Hannah Kathleen Bomar, PA-C
• Paige Bombardier, CRNA
• Hakeem Kunle Bombata, COTA
• Lisa Bomgaars, MD
• Bon Med Hyperbaric and Wound Care Associates PA
• Bona Care, Inc

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.