Active NPI
Gregory Stanislaw Burzynski, MD
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1952592131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- BP1-0029616
- Practice address
- 9432 Katy Fwy
Houston, TX 77055-6349 - Phone
- (713) 335-5697
- NPI assigned
- Aug 5, 2007
- Last updated
- Jan 21, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP1-0029616 | TX | Primary |
Addresses
Primary practice location
9432 Katy Fwy
Houston, TX 77055-6349
Mailing address
20 W Rivercrest Dr
Houston, TX 77042-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4663377972 | Other | MYUTMB 4663377972 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 28, 2022 through Sep 28, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0029616 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Healing LLC | Current | Accepting new patients |
Locations
9432 Katy Fwy
Ste 400
Houston, TX 77055
Phone (832) 563-5694
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBGCDA/Endpoint/JBGCDA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Houston, TX
- NPI 1629793518
-
- Internal Medicine Physician
- Houston, TX
- NPI 1700204146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295568000000",
"number": "1952592131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 W RIVERCREST DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770422127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9432 KATY FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770556349",
"telephone_number": "713-335-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURZYNSKI",
"first_name": "GREGORY",
"middle_name": "STANISLAW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-05",
"last_updated": "2011-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP1-0029616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 4663377972",
"identifier": "4663377972",
"state": null
}
],
"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 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.