Organization Active NPI

BV Emergency Physicians, PLLC

  • Emergency Care Clinic/Center
  • Bryan, TX
National Provider Identifier
1053834135
Registry record updated Jun 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.