Individual provider Active NPI

Cynthia L. Bureau, M.D.

  • Pediatrics Physician
  • Baytown, TX
National Provider Identifier
1962529602
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K4004 Issued in TX
Practice address
1610 James Bowie Dr Ste B101
Baytown, TX 77520-3367
Phone
(281) 427-0019
Fax
(281) 427-0531
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X K4004 TX Primary

Addresses

Primary practice location

1610 James Bowie Dr Ste B101
Baytown, TX 77520-3367

Mailing address

1610 James Bowie Dr Ste B101
Baytown, TX 77520-3367
Phone (281) 427-0019

Other practice location 1

4301 Garth Rd Ste 202
Baytown, TX 77521-3157
Phone (281) 427-0019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K4004TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cynthia L. Bureau, MD, PA Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1962529602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 JAMES BOWIE DR STE B101",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203367",
            "telephone_number": "281-427-0019",
            "fax_number": "281-427-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 JAMES BOWIE DR STE B101",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775203367",
            "telephone_number": "281-427-0019",
            "fax_number": "281-427-0531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Garth Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775213157",
            "country_code": "US",
            "telephone_number": "281-427-0019",
            "fax_number": "281-427-0531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUREAU",
        "first_name": "CYNTHIA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K4004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.