Active NPI
BV Emergency Physicians, PLLC
- Emergency Care Clinic/Center
- Bryan, TX
National Provider Identifier
1053834135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- BV EMERGENCY PHYSICIANS, PLLC
- Practice address
- 2411 Boonville Rd
Bryan, TX 77808 - Phone
- (979) 775-0911
- Fax
- (512) 852-4625
- NPI assigned
- Jul 20, 2017
- Last updated
- Jun 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jared Shahan, MD
- Title
- LLC Board Member
- Phone
- (979) 775-0911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
2411 Boonville Rd
Bryan, TX 77808
Mailing address
PO Box 61041
Corpus Christi, TX 78466-1041
Phone (361) 723-0226
National Provider Directory
National Provider DirectoryLocations
2411 Boonville Rd
Bryan, TX 77808
Phone (979) 775-0911
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- College Station, TX
- NPI 1417568619
-
- Medical Physician Assistant
- Bryan, TX
- NPI 1457775058
-
- Emergency Registered Nurse
- Bryan, TX
- NPI 1255147070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529193600000",
"number": "1053834135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 61041",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784661041",
"telephone_number": "361-723-0226",
"fax_number": "512-852-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 BOONVILLE RD",
"city": "BRYAN",
"state": "TX",
"postal_code": "77808",
"telephone_number": "979-775-0911",
"fax_number": "512-852-4625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BV EMERGENCY PHYSICIANS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-20",
"last_updated": "2018-06-17",
"status": "A",
"authorized_official_last_name": "SHAHAN",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "LLC BOARD MEMBER",
"authorized_official_telephone_number": "979-775-0911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.