Individual provider Active NPI

Phuong Tran, D.O

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1831624717
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S0111 Issued in TX
Practice address
8325 Broadway St Ste 220
Pearland, TX 77581-5773
Phone
(281) 783-8162
NPI assigned
Apr 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S0111 TX Primary

Addresses

Primary practice location

8325 Broadway St Ste 220
Pearland, TX 77581-5773

Mailing address

8325 Broadway St Ste 220
Pearland, TX 77581-5773
Phone (281) 783-8162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008002393 TX Practitioner - General Practice 1759650534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians
Next Level MV LLCGroup PAC ID 5991062085, 124 clinicians

Practice addresses (Care Compare)

16312 Southwest Fwy
Sugar Land, TX 77479-2371
Phone (281) 783-8162

1717 W 34TH St
Houston, TX 77018-6256
Phone (281) 783-8162

4002 FM 762 Rd
Suite 100
Rosenberg, TX 77469-5558
Phone (281) 783-8162

5211 FM 2920 Rd
Suite 101
Spring, TX 77388-3004
Phone (281) 783-8162

5749 San Felipe St
Houston, TX 77057-3101
Phone (281) 783-8162

7101 W Grand Pkwy S
Suite 180
Richmond, TX 77407-8656
Phone (281) 783-8162

7710 Garth Rd
Suite a
Baytown, TX 77521-8809
Phone (281) 783-8162

8100 Hwy 6 N
Suite E
Houston, TX 77095-1923
Phone (281) 783-8162

8325 Broadway St
Suite 220
Pearland, TX 77581-5773
Phone (281) 783-8162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
S0111TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Jul 3, 2020 Accepting new patients
Next Level MV LLC CurrentSince Jul 3, 2020 Accepting new patients
Next Level MV LLC CurrentSince Jul 3, 2020 Accepting new patients
Nluc PLLC Current Accepting new patients
Nluc PLLC CurrentSince Jul 3, 2020 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

8350 Fry Rd
Ste 400
Cypress, TX 77433

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

16107 Kensington Dr
Sugar Land, TX 77479
Phone (713) 513-7388

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1831624717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 BROADWAY ST STE 220",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815773",
            "telephone_number": "281-783-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 BROADWAY ST STE 220",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815773",
            "telephone_number": "281-783-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHUONG",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S0111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.