Active NPI
Genesis Health and Wellness, PA
- Adult Medicine Physician
- Missouri City, TX
National Provider Identifier
1790974541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- GENESIS HEALTH AND WELLNESS, PA
- Practice address
- 4855 Riverstone Blvd
Ste. 103
Missouri City, TX 77459-4377 - Phone
- (281) 313-6348
- Fax
- (281) 313-6349
- NPI assigned
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frederick Brown, M.D.
- Title
- Owner
- Phone
- (281) 313-6348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
4855 Riverstone Blvd
Ste. 103
Missouri City, TX 77459-4377
Mailing address
4855 Riverstone Blvd
Ste. 103
Missouri City, TX 77459-4377
Phone (281) 313-6348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160693101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
4855 Riverstone Blvd
Ste 103
Missouri City, TX 77459
Phone (281) 313-6348
4780 Sweetwater Blvd
Ste 100
Sugar Land, TX 77479
Phone (281) 491-0094
Interoperability endpoints
- https://api.platform.athenahealth.com/9421/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1639390487
-
- Family Nurse Practitioner
- Missouri City, TX
- NPI 1669868113
-
- Family Nurse Practitioner
- Houston, TX
- NPI 1275560153
-
- Family Nurse Practitioner
- League City, TX
- NPI 1982478228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581033600000",
"number": "1790974541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 RIVERSTONE BLVD",
"address_2": "STE. 103",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594377",
"telephone_number": "281-313-6348",
"fax_number": "281-313-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 RIVERSTONE BLVD",
"address_2": "STE. 103",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774594377",
"telephone_number": "281-313-6348",
"fax_number": "281-313-6349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS HEALTH AND WELLNESS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2020-02-07",
"certification_date": "2020-02-07",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "FREDERICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "281-313-6348",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160693101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.