Individual provider Active NPI

Rodney B Trimble, DO

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1922056597
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J0318 Issued in TX
Practice address
1708 Elmen St
Houston, TX 77019-5702
Phone
(281) 543-9458
Fax
(281) 543-9458
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J0318 TX Primary

Addresses

Primary practice location

1708 Elmen St
Houston, TX 77019-5702

Mailing address

5815 Avenue a
Rosharon, TX 77583-7107
Phone (281) 543-9458

Other identifiers 2

IdentifierTypeStateIssuer
116880906MedicaidTX
1168809-05MedicaidTX

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
I20040615001236 TX Practitioner - Family Practice 6608850854 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J0318TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rodom Medical Consulting PA Family Medicine CurrentSince Nov 10, 2011 Accepting new patients
Primary Medicine Center LLC Family Medicine Past Accepting new patients

Locations

3101 S Austin Ave
Georgetown, TX 78626
Phone (512) 819-1100

7505 Fannin St
Ste 510
Houston, TX 77054
Phone (713) 790-0745

6500 Hornwood Dr
Houston, TX 77074
Phone (713) 778-8856

1120 Cypress Station Dr
Houston, TX 77090
Phone (281) 893-7200

Interoperability endpoints

  • Direct secure messaging: rtrimble290657@direct.ochin.org

Organizations & group practices 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1922056597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 AVENUE A",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775837107",
            "telephone_number": "281-543-9458",
            "fax_number": "281-543-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 ELMEN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770195702",
            "telephone_number": "281-543-9458",
            "fax_number": "281-543-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "RODNEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J0318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116880906",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1168809-05",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.