Active NPI
Bland Chamberlain III, LSA
- Surgical Physician Assistant
- Katy, TX
National Provider Identifier
1891813804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 4010 Fulford CT
Katy, TX 77450-5239 - Phone
- (713) 301-9330
- Fax
- (281) 398-0451
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | SA00237 | TX | |
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
4010 Fulford CT
Katy, TX 77450-5239
Mailing address
4010 Fulford CT
Katy, TX 77450-5239
Phone (713) 301-9330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00237 | TX | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katy Surgical Assistants Inc | Surgical | Past | Accepting new patients |
| Katy Surgical Assistants, Inc | Surgical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Surgical Physician Assistant
- Katy, TX
- NPI 1467688333
-
- Surgical Physician Assistant
- Katy, TX
- NPI 1710231485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447632000000",
"number": "1891813804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 FULFORD CT",
"city": "KATY",
"state": "TX",
"postal_code": "774505239",
"telephone_number": "713-301-9330",
"fax_number": "281-398-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4010 FULFORD CT",
"city": "KATY",
"state": "TX",
"postal_code": "774505239",
"telephone_number": "713-301-9330",
"fax_number": "281-398-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERLAIN",
"first_name": "BLAND",
"name_suffix": "III",
"credential": "LSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2015-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "TX",
"license": "SA00237",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.