Individual provider Active NPI

Lorne Howar Blackbourne, MD

  • Surgical Critical Care Physician
  • Round Rock, TX
National Provider Identifier
1710977525
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
P9808 Issued in TX
Practice address
2300 Round Rock Ave Ste 201
Round Rock, TX 78681-4026
Phone
(512) 341-6612
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 0101049352 VA
Surgical Critical Care Physician 2086S0102X P9808 TX Primary

Addresses

Primary practice location

2300 Round Rock Ave Ste 201
Round Rock, TX 78681-4026

Mailing address

2300 Round Rock Ave Ste 201
Round Rock, TX 78681-4026
Phone (512) 341-6612

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
I20150413000769 TX Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 4082937834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
University of Virginia School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conroe Montgomery Physicians Group, PLLCGroup PAC ID 1850547365, 14 clinicians
Urgent Specialty Associates of Texas PLLCGroup PAC ID 6507258209, 68 clinicians

Practice addresses (Care Compare)

508 Medical Ctr Blvd
Suite 150
Conroe, TX 77304-2845
Phone (836) 760-4600

710 Cypress Creek Pkwy
Houston, TX 77090-3402
Phone (281) 440-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9808TXMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conroe Montgomery Physicians Group, PLLC CurrentSince Oct 1, 2025 Accepting new patients
St. David's Ortho, Neuro and Rehab, PLLC CurrentSince Jul 1, 2017 Accepting new patients
Urgent Specialty Associates of Texas, PLLC Surgical Critical Care CurrentSince Jul 12, 2022 Accepting new patients
Houston Northwest Operating Company, LLC Past Accepting new patients

Locations

4101 James Casey St
Ste 330
Austin, TX 78745
Phone (512) 373-4000

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

508 Medical Center Blvd
Ste 150
Conroe, TX 77304
Phone (836) 760-4600

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

800 Peakwood Dr
Ste 4E
Houston, TX 77090
Phone (281) 440-8430

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

2300 Round Rock Ave
Ste 201
Round Rock, TX 78681
Phone (512) 341-6612

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

605 Holderrieth Blvd
Tomball, TX 77375
Phone (281) 401-7500

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

Interoperability endpoints

  • Direct secure messaging: lorne.blackbourne@hca7.eclinicaldirectplus.com

Organizations & group practices 4

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 3

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710977525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ROUND ROCK AVE STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814026",
            "telephone_number": "512-341-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ROUND ROCK AVE STE 201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814026",
            "telephone_number": "512-341-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBOURNE",
        "first_name": "LORNE",
        "middle_name": "HOWAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "VA",
            "license": "0101049352",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "TX",
            "license": "P9808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.