Individual provider Active NPI

Jacqueline E Brown, M.D.

  • Obstetrics & Gynecology Physician
  • Katy, TX
National Provider Identifier
1861494130
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F6483 Issued in TX
Practice address
19333 Clay Rd
Katy, TX 77449-4001
Phone
(713) 462-6565
NPI assigned
Jun 1, 2005
Reactivated
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F6483 TX Primary

Addresses

Primary practice location

19333 Clay Rd
Katy, TX 77449-4001

Mailing address

5751 Bylthewood St
Suite 700
Houston, TX 77021-5402
Phone (713) 453-6773

Other practice location 1

5751 Bylthewood St
Ste 700
Houston, TX 77021-5402
Phone (713) 453-6773

Other identifiers 1

IdentifierTypeStateIssuer
123006202MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL URL Direct

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
I20080410000478 TX Practitioner - Obstetrics/Gynecology 7810083409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Community Health Services, IncGroup PAC ID 7911969092, 153 clinicians

Practice addresses (Care Compare)

12345 Bissonnet St
Houston, TX 77099-1332
Phone (832) 548-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
LHP Texas MD Services, Inc Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
Spring Branch Community Health Center CurrentSince May 15, 2022 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jul 8, 2025 Accepting new patients
Spring Branch Community Health Center CurrentSince May 15, 2022 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jul 8, 2025 Accepting new patients
Spring Branch Community Health Center Past Accepting new patients
Legacy Community Health Services, Inc Past Accepting new patients

Locations

800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933

12345 Bissonnet St
Houston, TX 77099

1615 Hillendahl Blvd
Ste 100
Houston, TX 77055
Phone 7134626565125

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

902 Frostwood Dr
Ste 108
Houston, TX 77024
Phone (713) 461-4333

5502 1st St
Katy, TX 77493
Phone 7134626565127

19333 Clay Rd
Katy, TX 77449
Phone (713) 462-6555

Organizations & group practices 7

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1861494130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 BYLTHEWOOD ST",
            "address_2": "SUITE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770215402",
            "telephone_number": "713-453-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 CLAY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774494001",
            "telephone_number": "713-462-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5751 Bylthewood St",
            "address_2": "Ste 700",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770215402",
            "country_code": "US",
            "telephone_number": "713-453-6773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JACQUELINE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "F6483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123006202",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "19333 Clay Rd",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774494001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.