Provider Demographics
NPI:1205015765
Name:KAPLAN, BRIAN H
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:H
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:BRIAN
Other - Middle Name:H
Other - Last Name:KAPLAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MEDICAL DOCTOR
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-3372
Mailing Address - Fax:713-797-0622
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-3372
Practice Address - Fax:713-797-0622
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG8887174400000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128444007Medicaid
TX128444008Medicaid
TX8FT292OtherBLUE CROSS BLUE SHIELD
TXP00295612OtherRR MEDICARE
TX181187901Medicaid
TX478743YMVQMedicare PIN
TX181187901Medicaid
TX8D4279Medicare PIN
TX478743ZSWCMedicare PIN