Active NPI
Advance Radiation Oncology Care PLLC
- Radiation Oncology Physician
- Sugar Land, TX
National Provider Identifier
1104390897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- ADVANCE RADIATION ONCOLOGY CARE PLLC
- Practice address
- 2245 Texas Dr Ste 300
Sugar Land, TX 77479-1468 - Phone
- (281) 566-2527
- Fax
- (281) 201-4151
- NPI assigned
- Jan 15, 2019
- 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
- Bailey Bryans
- Title
- Business Manager
- Phone
- (281) 566-2527
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
2245 Texas Dr Ste 300
Sugar Land, TX 77479-1468
Mailing address
2245 Texas Dr Ste 300
Sugar Land, TX 77479-1468
Phone (281) 566-2527
Other practice location 1
21216 Northwest Fwy Ste 560
Cypress, TX 77429-4697
Phone (281) 566-2527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3947723-01 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Cypress, TX
- NPI 1346355435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625702400000",
"number": "1104390897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 TEXAS DR STE 300",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774791468",
"telephone_number": "281-566-2527",
"fax_number": "281-201-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 TEXAS DR STE 300",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774791468",
"telephone_number": "281-566-2527",
"fax_number": "281-201-4151"
}
],
"practiceLocations": [
{
"address_1": "21216 Northwest Fwy Ste 560",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "TX",
"postal_code": "774294697",
"country_code": "US",
"telephone_number": "281-566-2527",
"fax_number": "281-201-4151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ADVANCE RADIATION ONCOLOGY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-15",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A",
"authorized_official_last_name": "BRYANS",
"authorized_official_first_name": "BAILEY",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "281-566-2527"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3947723-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Land, TX
- Adobe Surgery Center LLC
- Golden Adoo
- Julia Vladimirovna Adrogue, M.D.
- Advance Family Clinic LLC
- Advance Home Health, Inc.
- Advanced Foot and Ankle Specialists PA
- Advanced Home Health Care
- Advanced Invasive Pain Management of Houston
- Advanced Kidney Associates PLLC
- Advanced Technology & Testing Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.