Individual provider Active NPI

Gregory Stanislaw Burzynski, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1952592131
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP1-0029616 Issued in TX
Practice address
9432 Katy Fwy
Houston, TX 77055-6349
Phone
(713) 335-5697
NPI assigned
Aug 5, 2007
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4663377972OtherMYUTMB 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

LicenseStateTypeSpecialty
BP1-0029616TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Green Healing LLC Current Accepting new patients

Locations

9432 Katy Fwy
Ste 400
Houston, TX 77055
Phone (832) 563-5694

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.