Individual provider Active NPI

Robin Brunnemann, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, TX
National Provider Identifier
1922081421
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
J1895 Issued in TX
Practice address
4000 Spencer Hwy
Pasadena, TX 77504-1202
Phone
(713) 359-2000
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X J1895 TX Primary

Addresses

Primary practice location

4000 Spencer Hwy
Pasadena, TX 77504-1202

Mailing address

714 FM 1960 Rd W
Houston, TX 77090-3408
Phone (281) 880-6991

Other identifiers 1

IdentifierTypeStateIssuer
83P624OtherTXBCBS

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
I20170112002895 TX Practitioner - Pathology 4486841046 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brown & Associates Medical Laboratories LLP Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2022 Accepting new patients
Brown & Associates Medical Laboratories, LLP Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2022 Accepting new patients
Alliance Pathology Consultants PA Anatomic Pathology & Clinical Pathology CurrentSince Nov 15, 2016 Accepting new patients
Clear Lake Pathology Partners LTD Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

2900 Weslayan St
Ste 650
Houston, TX 77027
Phone (713) 541-3199

2525 W Bellfort Ave
Ste 120
Houston, TX 77054
Phone (713) 683-2975

6441 Main St
Houston, TX 77030
Phone (713) 790-0500

4131 Directors Row
Houston, TX 77092
Phone (713) 586-6705

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

Organizations & group practices 4

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1922081421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903408",
            "telephone_number": "281-880-6991",
            "fax_number": "281-880-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041202",
            "telephone_number": "713-359-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNEMANN",
        "first_name": "ROBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "J1895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83P624",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.