Organization Active NPI

Genesis Health and Wellness, PA

  • Adult Medicine Physician
  • Missouri City, TX
National Provider Identifier
1790974541
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
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

Updated by the provider on Feb 7, 2020

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)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
160693101MedicaidTX

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.