Brazos Valley Community Action Agency Inc

A Medicare group practice based in Bryan, TX: 19 NPIs enrolled under one PECOS associate control ID (PAC ID 4284542127), with 65 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4284542127The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
TX
Enrollments
16
Group size
41 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
28In 12 places

Enrollment records 16

Enrollment IDStateProvider typeNPI
O20030109000017 TX Part A Provider - Federally Qualified Health Center (FQHC) 1649265646
O20071003000133 TX Part A Provider - Federally Qualified Health Center (FQHC) 1275726853
O20040910000761 TX Part A Provider - Federally Qualified Health Center (FQHC) 1700973187
O20040708001095 TX Part B Supplier - Clinic/Group Practice 1649265646
O20051116000522 TX Part A Provider - Federally Qualified Health Center (FQHC) 1750470084
O20070118000343 TX Part A Provider - Federally Qualified Health Center (FQHC) 1568519122
O20181203000208 TX Part A Provider - Federally Qualified Health Center (FQHC) 1083194138
O20221118002524 TX Part A Provider - Federally Qualified Health Center (FQHC) 1164143699
O20221027002491 TX Part A Provider - Federally Qualified Health Center (FQHC) 1184344657
O20141017001116 TX Part A Provider - Federally Qualified Health Center (FQHC) 1649689274
O20131220000011 TX Part A Provider - Federally Qualified Health Center (FQHC) 1497183883
O20120307000554 TX Part A Provider - Federally Qualified Health Center (FQHC) 1841562451
O20111107000396 TX Part A Provider - Federally Qualified Health Center (FQHC) 1558645333
O20111123000318 TX Part A Provider - Federally Qualified Health Center (FQHC) 1609150465
O20240829003392 TX Part A Provider - Federally Qualified Health Center (FQHC) 1184192064
O20240531002231 TX Part A Provider - Federally Qualified Health Center (FQHC) 1184302440

NPIs in this group 19

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 65

Clinicians who reassign their Medicare benefits to this group (61) or whom Care Compare lists as members (41).

Sources for this page