Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin Ikem Bogwu, MD

Individual provider Family Medicine Physician · NPI 1245550656

Dr. Justin Ikem Bogwu, MD is a Family Practice in Houston, Texas. Qualified in 2009, 17 years ago. Practices with Memorial Hermann Medical Group, a 753-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
17
Licensed in
TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14201 E Sam Houston Pkwy N
Houston, TX 77044-6291
Phone: (281) 812-4447
Fax: (281) 540-8748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence P7611 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245550656
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2010
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Memorial Hermann Medical Group — 753 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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