Individual provider Active NPI

Bernice Blumenreich, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1720168156
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F5472 Issued in TX
Practice address
6630 De Moss Dr
Houston, TX 77074-5004
Phone
(713) 272-2600
Fax
(713) 272-5589
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F5472 TX Primary

Addresses

Primary practice location

6630 De Moss Dr
Houston, TX 77074-5004

Mailing address

6630 De Moss Dr
Houston, TX 77074-5004
Phone (713) 272-2600

Other identifiers 3

IdentifierTypeStateIssuer
139114615MedicaidTX
139114611MedicaidTX
8B6443MedicaidTX

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
I20040610001522 TX Practitioner - Family Practice 3779566625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor College of Medicine 796 clinicians

Practice addresses (Care Compare)

1502 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-4900

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

1623 Airline Dr
Houston, TX 77009-3607
Phone (713) 798-1000

8888 W Bellfort Ave
Houston, TX 77031-2406
Phone (713) 798-1000

927 Shaw Ave
Pasadena, TX 77506-1430
Phone (713) 477-6851

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289

Merit-based Incentive Payment System (MIPS)

Final score
92.87 of 100Reported as group
Quality
87.77
Improvement activities
40
Cost
76.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare for the Homeless-Houston Family Medicine CurrentSince Aug 2, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Nov 1, 2003 Accepting new patients
Healthcare for the Homeless-Houston Family Medicine CurrentSince Aug 2, 2019 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Nov 1, 2003 Accepting new patients
Healthcare for the Homeless-Houston Family Medicine Past Accepting new patients
Leo C Grim P C Past Accepting new patients
Baylor College of Medicine Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

8888 W Bellfort Ave
Houston, TX 77031
Phone (713) 218-2697

1934 Caroline St
Houston, TX 77002
Phone (713) 286-6000

3401 Fannin St
Houston, TX 77004
Phone (713) 526-0311

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

Organizations & group practices 9

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 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1720168156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 DE MOSS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745004",
            "telephone_number": "713-272-2600",
            "fax_number": "713-272-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 DE MOSS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745004",
            "telephone_number": "713-272-2600",
            "fax_number": "713-272-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENREICH",
        "first_name": "BERNICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F5472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139114615",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139114611",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8B6443",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.