Organization Active NPI

Brian C Castillo, MD PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1831418094
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1577 Issued in TX
Legal business name
BRIAN C CASTILLO, MD PA
Practice address
13176 W Lake Houston Pkwy
Suite 4
Houston, TX 77044-5390
Phone
(281) 436-0061
Fax
(281) 436-1128
NPI assigned
May 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. Brian Ceniza Castillo, M.D.NPI 1922247881
Title
Owner
Phone
(281) 436-0061

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X N1577 TX Primary

Addresses

Primary practice location

13176 W Lake Houston Pkwy
Suite 4
Houston, TX 77044-5390

Mailing address

13176 W Lake Houston Pkwy
Suite 4
Houston, TX 77044-5390
Phone (281) 436-0061

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101209001311 TX Part B Supplier - Clinic/Group Practice 7214124742 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

13176 W Lake Houston Pkwy
Ste 4
Houston, TX 77044
Phone (281) 436-0061

Practitioners & affiliated clinicians

Practitioners 3

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": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1831418094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13176 W LAKE HOUSTON PKWY",
            "address_2": "SUITE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770445390",
            "telephone_number": "281-436-0061",
            "fax_number": "281-436-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13176 W LAKE HOUSTON PKWY",
            "address_2": "SUITE 4",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770445390",
            "telephone_number": "281-436-0061",
            "fax_number": "281-436-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C CASTILLO, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CENIZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-436-0061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1577",
            "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 May 26, 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.