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BRIAN C DOUGLAS MD PA
NPI 1245352814
Internal Medicine - Gastroenterology in Houston, TX

Active since April 04, 2007CLIA 45D0689447 · Waiver
6624 FANNIN ST, SUITE 2560, HOUSTON, TX 77030(713) 796-0062(713) 796-9187 Get Directions Write a Review

NPPES record last updated: August 24, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Brian C Douglas Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN C DOUGLAS MD PA (NPI 1245352814) is a healthcare organization registered as a gastroenterology in Houston, Texas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Brian Claude Douglas, President, as its authorized official.

NPPES Registry Identity

NPI1245352814
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBRIAN C DOUGLAS MD PA
Location Address6624 FANNIN ST, SUITE 2560Houston, TX 77030-2312
Mailing Address6624 Fannin St, Suite 2560Houston, TX 77030-2312 · (713) 796-0062 · Fax (713) 796-9187
Phone(713) 796-0062
Fax(713) 796-9187
Organization SubpartNo
Authorized OfficialBrian Claude DouglasPresident · (713) 796-0062
Enumeration DateApril 4, 2007
Last NPPES UpdateAugust 24, 2007
✔ NPI 1245352814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · F0980
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
6624 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINC15368TX
Medicare PIN00F86JTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian C Douglas Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brian C Douglas MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Douglas, M.D.
Gastroenterology
NPI 1578540761
6624 FANNIN ST SUITE 2560
Houston, TX 77030
(713) 796-0062
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0689447

Brian C Douglas MD · Houston, TX
Active · expires Aug 31, 2028
CLIA Number45D0689447
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorBrian C. Douglas MD
Laboratory Phone(713) 796-0062
Laboratory LocationBrian C Douglas MD6624 Fannin St Suite 2560, Houston, TX 77030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian C Douglas MD PA's NPI number?

The NPI number for Brian C Douglas MD PA is 1245352814. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Brian C Douglas MD PA located?

Brian C Douglas MD PA is located at 6624 Fannin St Suite 2560, Houston, TX 77030. The listed phone number is (713) 796-0062.

What is Brian C Douglas MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Brian C Douglas MD PA enrolled in Medicare?

Yes. Brian C Douglas MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brian C Douglas MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Brian C Douglas MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Brian C Douglas MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0689447) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brian C Douglas MD PA was last updated on August 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.