NPIMap

Organization Active NPI

Brazos Medical Center

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1811453293
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRAZOS MEDICAL CENTER
Practice address
6306 Fairbanks N Houston Rd Ste 500
Houston, TX 77040-5193
Phone
(713) 234-6846
NPI assigned
Feb 11, 2019
Last updated
Apr 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Authorized official

Name
Chinwenwa Otinwa
Title
Manager
Phone
(832) 900-2681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

6306 Fairbanks N Houston Rd Ste 500
Houston, TX 77040-5193

Mailing address

6306 Fairbanks N Houston Rd Ste 500
Houston, TX 77040-5193
Phone (832) 900-2681

National Provider Directory

National Provider Directory

Locations

6302 Fairbanks N Houston Rd
Houston, TX 77040
Phone (832) 900-2681

6302 Fairbanks N Houston Rd
#R
Houston, TX 77040
Phone (832) 900-2681

6306 Fairbanks N Houston Rd
Ste 500
Houston, TX 77040
Phone (713) 732-4677

Practitioners & affiliated clinicians

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1811453293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6306 FAIRBANKS N HOUSTON RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405193",
            "telephone_number": "832-900-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 FAIRBANKS N HOUSTON RD STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405193",
            "telephone_number": "713-234-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "OTINWA",
        "authorized_official_first_name": "CHINWENWA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-900-2681"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 10, 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.