Individual provider Active NPI

Brian Donald Graham, APRN-PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1841636404
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP124890 Issued in TX
Practice address
8701 New Trails Dr Ste 150
The Woodlands, TX 77381-4546
Phone
(281) 367-1015
Fax
(281) 367-1966
NPI assigned
May 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP124890 TX Primary

Addresses

Primary practice location

8701 New Trails Dr Ste 150
The Woodlands, TX 77381-4546

Mailing address

8701 New Trails Dr Ste 150
The Woodlands, TX 77381-4546
Phone (281) 367-1015

Other identifiers 1

IdentifierTypeStateIssuer
1366562225OtherTXGROUP NPI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226003089 TX Practitioner - Nurse Practitioner 1456690080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Psychiatry of the Woodlands PAGroup PAC ID 7315952801, 5 clinicians

Practice addresses (Care Compare)

8701 New Trails Dr
Suite 150
The Woodlands, TX 77381-4546
Phone (281) 367-1015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP124890TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychiatry of the Woodlands PA Psychiatric/Mental Health CurrentSince Nov 2, 2018 Accepting new patients

Locations

8701 New Trails Dr
Ste 150
The Woodlands, TX 77381
Phone (281) 367-1015

Interoperability endpoints

  • Direct secure messaging: brian.graham.1@18657.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18657/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1841636404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 NEW TRAILS DR STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814546",
            "telephone_number": "281-367-1015",
            "fax_number": "281-367-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 NEW TRAILS DR STE 150",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773814546",
            "telephone_number": "281-367-1015",
            "fax_number": "281-367-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BRIAN",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "APRN-PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP124890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1366562225",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.