Individual provider Active NPI

Brady Hogan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Houston, TX
National Provider Identifier
1730753963
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
692124 Issued in TX
Practice address
1401 St Joseph Pkwy
Houston, TX 77002-8301
Phone
(713) 756-8217
Fax
(713) 657-7234
NPI assigned
May 12, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 692124 TX Primary

Addresses

Primary practice location

1401 St Joseph Pkwy
Houston, TX 77002-8301

Mailing address

1401 St Joseph Pkwy
Houston, TX 77002-8301
Phone (713) 756-8217

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904000028 TX Practitioner - Podiatry 8426597519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MBV PLLCGroup PAC ID 2860636446, 18 clinicians

Practice addresses (Care Compare)

9701 N Sam Houston Pkwy E
Suite 150
Humble, TX 77396-4693
Phone (281) 909-7722

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of skin lesions1-10
Removal of nail tissue1070
Removal or shaving of skin growth37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MBV PLLC Foot & Ankle Surgery CurrentSince Aug 19, 2024 Accepting new patients
MBV PLLC CurrentSince Aug 19, 2024 Accepting new patients
Fall Creek Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince Nov 2, 2025 Accepting new patients
Fas of TW LLC Foot & Ankle Surgery CurrentSince Jan 22, 2025 Accepting new patients

Locations

9701 N Sam Houston Pkwy E
Ste 150
Humble, TX 77396
Phone (281) 973-5237

227 State Highway 75 N
Ste 150
Huntsville, TX 77320

640 Interstate 45 S
Huntsville, TX 77340
Phone (936) 228-3992

201 Kingwood Medical Dr
Ste B600
Kingwood, TX 77339
Phone (281) 358-3702

9191 Pinecroft Dr
Ste 100
Shenandoah, TX 77380

9191 Pinecroft Dr
Ste 130
Shenandoah, TX 77380

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Interoperability endpoints

  • Direct secure messaging: alleviotexas.bradyhogan@161097.advancedmd-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHAGAD

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

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1730753963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ST JOSEPH PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028301",
            "telephone_number": "713-756-8217",
            "fax_number": "713-657-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ST JOSEPH PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028301",
            "telephone_number": "713-756-8217",
            "fax_number": "713-657-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "BRADY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-12",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "692124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.