Organization Active NPI

Elevate TRT PLLC

  • Public Health & General Preventive Medicine Physician
  • Houston, TX
National Provider Identifier
1952111353
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
ELEVATE TRT PLLC
Practice address
910 Louisiana St Ste M145
Houston, TX 77002-4916
Phone
(832) 524-6862
NPI assigned
Jan 9, 2025
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Deshauris Bradford, M.D.NPI 1942688841
Title
Ceo
Phone
(832) 524-6862

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
Public Health & General Preventive Medicine Physician 2083P0901X Primary

Addresses

Primary practice location

910 Louisiana St Ste M145
Houston, TX 77002-4916

Mailing address

2246 Sterling Dr
Pearland, TX 77584-8545
Phone (832) 524-6862

National Provider Directory

National Provider Directory

Locations

910 Louisiana St
Ste M145
Houston, TX 77002
Phone (832) 524-6862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1952111353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2246 STERLING DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848545",
            "telephone_number": "832-524-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 LOUISIANA ST STE M145",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770024916",
            "telephone_number": "832-524-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE TRT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "DESHAURIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-524-6862",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive 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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.