Organization Active NPI

Richmond Avenue Family Practice Associates PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1811982275
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RICHMOND AVENUE FAMILY PRACTICE ASSOCIATES PA
Practice address
12245 Richmond Ave
Houston, TX 77082-2518
Phone
(281) 558-6700
Fax
(281) 558-1741
NPI assigned
Sep 13, 2005
Last updated
Jan 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Bruce C Patterson, MDNPI 1154314565
Title
President
Phone
(281) 558-6700

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

12245 Richmond Ave
Houston, TX 77082-2518

Mailing address

12245 Richmond Avenue
Houston, TX 77082-2518
Phone (281) 558-6700

Other identifiers 1

IdentifierTypeStateIssuer
0065JVOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • West Houston Family Practice Associates PA Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090514000465 TX Part B Supplier - Clinic/Group Practice 4880743244 Receives reassigned benefits from 10 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

12245 Richmond Ave
Houston, TX 77082
Phone (281) 558-5558

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1811982275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12245 RICHMOND AVENUE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822518",
            "telephone_number": "281-558-6700",
            "fax_number": "281-558-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12245 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822518",
            "telephone_number": "281-558-6700",
            "fax_number": "281-558-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND AVENUE FAMILY PRACTICE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-558-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0065JV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Houston Family Practice Associates PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.