Organization Active NPI

Jubilee Birth Center

  • Birthing Clinic/Center
  • Bryan, TX
National Provider Identifier
1083990782
Registry record updated Feb 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
150020 Issued in TX
Legal business name
JUBILEE BIRTH CENTER
Practice address
502 S Coulter Dr
Bryan, TX 77803-4740
Phone
(979) 739-1030
NPI assigned
Oct 25, 2011
Last updated
Feb 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2012

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

Authorized official

Name
Mrs. Toni G Kimpel, CPM, LMNPI 1982751749
Title
Owner, Midwife
Phone
(979) 739-1030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X 150020 TX Primary

Addresses

Primary practice location

502 S Coulter Dr
Bryan, TX 77803-4740

Mailing address

4452 Jeske Rd
Brenham, TX 77833-8081
Phone (979) 251-7377

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330214400000",
    "number": "1083990782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4452 JESKE RD",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778338081",
            "telephone_number": "979-251-7377",
            "fax_number": "979-251-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S COULTER DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778034740",
            "telephone_number": "979-739-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBILEE BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2012-02-26",
        "status": "A",
        "authorized_official_last_name": "KIMPEL",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER, MIDWIFE",
        "authorized_official_telephone_number": "979-739-1030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "TX",
            "license": "150020",
            "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 Feb 26, 2012; 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.