Individual provider Active NPI

Bryce Eltin Russell, ACNP-AG

  • Acute Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1922508795
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP136036 Issued in TX
Practice address
18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone
(281) 523-2000
NPI assigned
Feb 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP136036 TX Primary

Addresses

Primary practice location

18300 Houston Methodist Dr
Houston, TX 77058-6302

Mailing address

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (281) 332-3001

Other practice location 1

11914 Astoria Blvd Ste 590
Houston, TX 77089-6079
Phone (832) 871-4099

Other practice location 2

18333 Egret Bay Blvd Ste 140
Houston, TX 77058-3239
Phone (281) 332-3001

Other practice location 3

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6100

Other practice location 4

500 W Medical Center Blvd
Webster, TX 77598-4220
Phone (281) 332-2511

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611002525 TX Practitioner - Nurse Practitioner 3870848054 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
XpertmdGroup PAC ID 5193092393, 39 clinicians

Practice addresses (Care Compare)

18300 Houston Methodist Dr
Houston, TX 77058-6302
Phone (281) 332-3001

200 Blossom St
Webster, TX 77598-4204
Phone (281) 332-3001

500 W Medical Ctr Blvd
Webster, TX 77598-4220
Phone (281) 332-3001

Hospital & facility affiliations

  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP136036TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xpertmd Acute Care CurrentSince Mar 1, 2018 Accepting new patients

Locations

18333 Egret Bay Blvd
Ste 140
Houston, TX 77058
Phone (281) 218-8797

18300 Houston Methodist Dr
Houston, TX 77058
Phone (281) 206-9020

411 Alabama Ave
League City, TX 77573
Phone (281) 332-9588

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1922508795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583239",
            "telephone_number": "281-332-3001",
            "fax_number": "281-332-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 HOUSTON METHODIST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770586302",
            "telephone_number": "281-523-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11914 Astoria Blvd Ste 590",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770896079",
            "country_code": "US",
            "telephone_number": "832-871-4099",
            "fax_number": "281-994-7449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18333 Egret Bay Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583239",
            "country_code": "US",
            "telephone_number": "281-332-3001",
            "fax_number": "281-332-3005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11800 Astoria Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770896041",
            "country_code": "US",
            "telephone_number": "281-929-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984220",
            "country_code": "US",
            "telephone_number": "281-332-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "BRYCE",
        "middle_name": "ELTIN",
        "credential": "ACNP-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-17",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP136036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.