NPIMap

Individual provider Active NPI

Russell L Brink, D.O.

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1780978171
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P0702 Issued in TX
Practice address
7777 Southwest Fwy
304
Houston, TX 77074-1802
Phone
(713) 270-4545
Fax
(713) 270-9197
NPI assigned
Jun 3, 2011
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X P0702 TX Primary

Addresses

Primary practice location

7777 Southwest Fwy
304
Houston, TX 77074-1802

Mailing address

7777 Southwest Fwy
304
Houston, TX 77074-1802

Other identifiers 1

IdentifierTypeStateIssuer
D0182867OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131021001222 TX Practitioner - NephrologyPractitioner - Internal Medicine 5294960647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Nephrology Associates, LLPGroup PAC ID 3274674551, 7 clinicians

Practice addresses (Care Compare)

7777 Southwest Fwy
Suite 304
Houston, TX 77074-1813
Phone (713) 270-4545

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
93.15
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Nephrology Associates, LLP Nephrology CurrentSince Jul 3, 2013 Accepting new patients
Southwest Nephrology Associates, LLP Past Accepting new patients
Fresenius Medical Care Sugarland, LLC PastSince Sep 1, 2016 Accepting new patients

Locations

12121 Richmond Ave
Ste 212
Houston, TX 77082
Phone (281) 759-2273

7777 Southwest Fwy
Ste 304
Houston, TX 77074
Phone (713) 270-4545

1429 Highway 6
Ste 305
Sugar Land, TX 77478
Phone (281) 415-8621

Interoperability endpoints

  • Direct secure messaging: rbrink26762@directhoustonmethodist.org
  • Direct secure messaging: russell.brink.1@19285.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1780978171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY",
            "address_2": "304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741802",
            "telephone_number": "713-270-4545",
            "fax_number": "713-270-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "RUSSELL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P0702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "D0182867",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.