Hospice Brazos Valley, Inc.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

2186 Issued in TX

Legal business name

HOSPICE BRAZOS VALLEY, INC.

Practice address

502 W 26TH St
Bryan, TX 77803-2426

Phone

(979) 821-2266

NPI assigned

Jan 31, 2014

Organization subpart

Yes

Parent organization

HOSPICE BRAZOS VALLEYAs reported in NPPES

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

Authorized official

Name

Mr. Craig Borchardt, PH.D.

Title

President/Ceo

Phone

(979) 821-2266

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Hospice Brazos Valley Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hospice Brazos Valley, Inc.

  • Community Based Hospice Care Agency
  • Bryan, TX
  • NPI 1245232149
  NPPES parent name

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1043633746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W 26TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778032426",
            "telephone_number": "979-821-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 26TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778032426",
            "telephone_number": "979-821-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE BRAZOS VALLEY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPICE BRAZOS VALLEY",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "BORCHARDT",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "979-821-2266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "2186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF AGING",
            "identifier": "2186",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Honnas, DC
• Davelyn Eaves Hood, MD
• Jason Marshall Hoover, M.D.
• Kassidy Lynn Hopkins
• Hurb A Hosea, DPM
• Hospice Brazos Valley, Inc.
• Hospitalist Medicine Physicians of Texas - Livingston, PLLC
• Samiyah Hossain
• Edward Patrick Houser, FNP
• Kuy Houser, M.D.

• All providers in Bryan, TX
• Hospice and Palliative Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.