JEAN BISMUTH M.D. NPI 1639330053

NPI Information

NPI: 1639330053
Provider Name: JEAN BISMUTH, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
6550 FANNIN ST
SUITE 1401
HOUSTON, TX
ZIP 77030
Phone: (713) 441-5200
Get Directions

Jean Bismuth, M.D. is a vascular surgery surgery in Houston, TX with 25 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Jean Bismuth, M.D. NPI is 1639330053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6550 FANNIN ST
SUITE 1401
HOUSTON, TX
ZIP 77030-717
Phone: (713) 441-5200
Fax: (713) 793-7428

The NPI 1639330053 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	ME164624	FLORIDA	Yes
2	2086S0129X	Surgery	Vascular Surgery	M7050	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	197950205	MEDICAID	TEXAS
2	8BC029	OTHER	TEXAS	BCBS
3	197950204	MEDICAID	TEXAS
4	P01318687	OTHER	TEXAS	RR MEDICARE
5	1639330053	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
6	8BC029	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
7	197950203	MEDICAID	TEXAS
8	197950201	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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