Brazos Valley Plastic Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BRAZOS VALLEY PLASTIC SURGERY CENTER LLC

Practice address

2809 Earl Rudder Fwy S
Suite 101
College Station, TX 77845-7382

Phone

(979) 776-8825

NPI assigned

Nov 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Malcolm Rude, M.D.

Title

Facility Director

Phone

(979) 776-8825

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1134593056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 EARL RUDDER FWY S",
            "address_2": "SUITE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457382",
            "telephone_number": "979-776-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 EARL RUDDER FWY S",
            "address_2": "SUITE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457382",
            "telephone_number": "979-776-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY PLASTIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "RUDE",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "979-776-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brazos Valley Hospital, LLC
• Brazos Valley Nephrology
• Brazos Valley Oms PLLC
• Brazos Valley Pathology, PLLC
• Brazos Valley Plastic Surgery Center
• Brazos Valley Psychiatry
• Brazos Valley Sleep Diagnostics
• Brazos Valley Smiles, PC
• Brazos Valley Speech Therapy, PLLC
• Brazos Valley Womens Center PA

• Ambulatory Surgical Clinic/Center in College Station, TX
• Providers in College Station, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.