Organization Active NPI

Huntsville Family Medicine, LLP

  • Primary Care Clinic/Center
  • Huntsville, TX
National Provider Identifier
1871535559
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HUNTSVILLE FAMILY MEDICINE, LLP
Practice address
123 Medical Park LN Ste a
Huntsville, TX 77340-4981
Phone
(936) 291-2116
Fax
(936) 435-7824
NPI assigned
Jun 10, 2006
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Brenda Glass
Title
Office Manager
Phone
(936) 291-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X TX Primary

Addresses

Primary practice location

123 Medical Park LN Ste a
Huntsville, TX 77340-4981

Mailing address

123 Medical Park LN Ste a
Huntsville, TX 77340-4981
Phone (936) 291-2116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112000172 TX Part B Supplier - Clinic/Group Practice 2769446590 Receives reassigned benefits from 8 practitioners
Practice locations: Huntsville, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0675314Huntsville Family Medicine, LLP123 Medical Park Lane, Ste a, Huntsville, TX 77340Provider-performed microscopyApr 30, 2027

National Provider Directory

National Provider Directory

Locations

123 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (409) 291-2116

Practitioners & affiliated clinicians

Practitioners 11

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1871535559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MEDICAL PARK LN STE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404981",
            "telephone_number": "936-291-2116",
            "fax_number": "844-655-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MEDICAL PARK LN STE A",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404981",
            "telephone_number": "936-291-2116",
            "fax_number": "936-435-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE FAMILY MEDICINE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "936-291-2116"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.