Organization Active NPI

Bruce Andrew Levy MD PA

  • Neurology Physician
  • Houston, TX
National Provider Identifier
1760634661
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BRUCE ANDREW LEVY MD PA
Practice address
6410 Fannin St
Suite 1460
Houston, TX 77030-5308
Phone
(713) 796-9100
Fax
(713) 796-9110
NPI assigned
Oct 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Dr. Bruce Andrew Levy, M.D.NPI 1114988680
Title
President
Phone
(713) 796-9100

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

6410 Fannin St
Suite 1460
Houston, TX 77030-5308

Mailing address

6410 Fannin St
Suite 1460
Houston, TX 77030-5308
Phone (713) 796-9100

Other identifiers 1

IdentifierTypeStateIssuer
0982290-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

6410 Fannin St
Ste 1460
Houston, TX 77030
Phone (713) 796-9100

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1760634661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "SUITE 1460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305308",
            "telephone_number": "713-796-9100",
            "fax_number": "713-796-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 FANNIN ST",
            "address_2": "SUITE 1460",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770305308",
            "telephone_number": "713-796-9100",
            "fax_number": "713-796-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE ANDREW LEVY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-796-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0982290-01",
            "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 Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.