Brazos Valley Medical Equipment, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0041089 Issued in TX

Legal business name

BRAZOS VALLEY MEDICAL EQUIPMENT, INC.

Practice address

2644 Derby LN
Madisonville, TX 77864-4110

Phone

(936) 348-5709

Fax

(936) 348-5358

NPI assigned

May 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Ann Chennault

Title

Vicepresidentandmanager

Phone

(936) 348-5709

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144438086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 DERBY LN",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778644110",
            "telephone_number": "936-348-5709",
            "fax_number": "936-348-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 DERBY LN",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778644110",
            "telephone_number": "936-348-5709",
            "fax_number": "936-348-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHENNAULT",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICEPRESIDENTANDMANAGER",
        "authorized_official_telephone_number": "936-348-5709",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0041089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000517267",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britt Haley Allen, PT
• Kelsey Allen
• Mac Leon Bennett III, DDS
• Amanda Faith Boone
• Brazos Valley Community Action Agency, Inc. (HealthPoint)
• Krystal Rachelle Bridwell, APRN, FNP-BC
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Andrew Burleson, MD
• Laquita Clewis, LCDC

• Oxygen Equipment & Supplies (DME) in Madisonville, TX
• Providers in Madisonville, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.