Organization Active NPI

Ricardo S. Lemos MD PA

  • Clinic/Center
  • Bryan, TX
National Provider Identifier
1104873983
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
J6155 Issued in TX
Legal business name
RICARDO S. LEMOS MD PA
Practice address
2716 Osler Blvd
Bryan, TX 77802-2517
Phone
(979) 776-3850
Fax
(979) 776-3890
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Ricardo Souza Lemos, MD
Title
President
Phone
(979) 776-3850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X J6155 TX Primary

Addresses

Primary practice location

2716 Osler Blvd
Bryan, TX 77802-2517

Mailing address

2716 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-3850

Other identifiers 2

IdentifierTypeStateIssuer
0050HHOtherTXBLUE CROSS/BLUE SHIELD
148831402MedicaidTX

National Provider Directory

National Provider Directory

Locations

2716 Osler Blvd
Bryan, TX 77802
Phone (972) 555-8899

2801 E 29th St
Ste 123
Bryan, TX 77802
Phone (409) 776-0088

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1104873983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022517",
            "telephone_number": "979-776-3850",
            "fax_number": "979-776-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022517",
            "telephone_number": "979-776-3850",
            "fax_number": "979-776-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO S. LEMOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "LEMOS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "SOUZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-776-3850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J6155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "0050HH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148831402",
            "state": "TX"
        }
    ],
    "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 Jul 14, 2008; 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.