Organization Active NPI

Brannon George, M.D., PLLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1922487339
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRANNON GEORGE, M.D., PLLC
Practice address
134 Vintage Park Blvd Ste A15
Houston, TX 77070-3998
Phone
(281) 272-1743
Fax
(281) 272-1758
NPI assigned
May 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Dr. Brannon Edward George, M.D.NPI 1891093662
Title
Medical Doctor
Phone
(281) 620-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

134 Vintage Park Blvd Ste A15
Houston, TX 77070-3998

Mailing address

134 Vintage Park Blvd Ste A15
Houston, TX 77070-3998
Phone (281) 272-1743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150528001010 TX Part B Supplier - Clinic/Group Practice 3274853551 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

712 E Tidwell Rd
#Y
Houston, TX 77022
Phone (713) 694-2273

134 Vintage Park Blvd
Ste A15
Houston, TX 77070
Phone (281) 272-1743

650 N Sam Houston Pkwy E
Ste 105B
Houston, TX 77060
Phone (281) 272-1743

1203 Avenue D
Katy, TX 77493
Phone (281) 391-2484

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1922487339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VINTAGE PARK BLVD STE A15",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703998",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 VINTAGE PARK BLVD STE A15",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703998",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANNON GEORGE, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "BRANNON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "281-620-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.