Brazos Medical Clinc PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRAZOS MEDICAL CLINC PA

Practice address

322 Coleman St
Marlin, TX 76661-2358

Phone

(254) 803-3561

NPI assigned

Oct 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David J Fedro, DO

Title

Physician

Phone

(254) 803-3561

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1043463433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766610807",
            "telephone_number": "254-803-3561",
            "fax_number": "254-883-6835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 COLEMAN ST",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766612358",
            "telephone_number": "254-803-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS MEDICAL CLINC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "FEDRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "254-803-3561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dileep C Bhateley, M.D.
• Yubaraja Bhattarai, M.D.
• Bio-Medical Applications of Texas, Inc.
• Bio-Medical Applications of Texas, Inc.
• Bianca A Bocka, DC
• Shairena Brocato
• James Austin Bryan, DDS
• Britni Burks, APRN
• C & K Nurse Practitioner Services, PC
• Michael Lee Capps, FNP

• All providers in Marlin, TX
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.