Robert Edwin Prangle, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D9870 Issued in TX

Practice address

13310 Beamer Rd
Suite G
Houston, TX 77089-6093

Phone

(281) 481-4111

Fax

(281) 481-0111

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Memorial Hermann Medical Group

  • Family Medicine Physician
  • Fulshear, TX
  • NPI 1003985102
  Medicare reassignment NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1912938416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 BEAMER RD STE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896045",
            "telephone_number": "281-481-4111",
            "fax_number": "281-481-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 BEAMER RD",
            "address_2": "SUITE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896093",
            "telephone_number": "281-481-4111",
            "fax_number": "281-481-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANGLE",
        "first_name": "ROBERT",
        "middle_name": "EDWIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D9870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00M971",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pradeep Pramanik, M.D.
• Christina Klein Pramudji, M.D.
• Pranami LLC
• Felicia Pranata, D.D.S.
• Bryan Thomas Prange, M.D.
• Kenneth Wibowo Pranoto
• Sara Pranoto, RD, CSP, LD
• Savannah Rae Prantil, AGACNP-BC
• Shaizeel Praptani, M.D.
• Prasad Counseling and Training

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.