Space City Medical, LLC
NPI 1083202402 · Nurse Practitioner · Houston, TX
Space City Medical, LLC is a Nurse Practitioner organization in Houston, TX (NPI 1083202402).
Provider details
- NPI number
- 1083202402
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Brandon Johnson, Nurse Practitioner(832) 549-6655
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-01-03
- Last updated
- 2021-01-03
- Certified
- 2021-01-03
Frequently asked questions
- What is Space City Medical, LLC's NPI number?
- Space City Medical, LLC's National Provider Identifier (NPI) is 1083202402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Space City Medical, LLC?
- Space City Medical, LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Space City Medical, LLC located?
- Space City Medical, LLC's practice location on file with NPPES is 7401 Gleason Rd, Houston, TX 77016-2708.
- What is Space City Medical, LLC's phone number?
- The practice phone number listed in the NPPES registry for Space City Medical, LLC is (832) 549-6655.
- Who is the authorized official for Space City Medical, LLC?
- The authorized official listed on Space City Medical, LLC's NPPES record is Brandon Johnson, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Space City Medical, LLC's NPI active?
- Yes — Space City Medical, LLC's NPI (1083202402) is active in the NPPES registry as of the last update on 2021-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.