Organization Active NPI

Brazos Valley Womens Center PA

  • Obstetrics & Gynecology Physician
  • College Station, TX
National Provider Identifier
1154523793
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BRAZOS VALLEY WOMENS CENTER PA
Practice address
1602 Rock Prairie Rd
West BLD Ste 230
College Station, TX 77845-2603
Phone
(979) 776-5602
Fax
(979) 776-5265
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Daniel Dawson, MD
Title
Vice President
Phone
(979) 776-5602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1602 Rock Prairie Rd
West BLD Ste 230
College Station, TX 77845-2603

Mailing address

1602 Rock Prairie Rd
West BLD Ste 230
College Station, TX 77845-2603
Phone (979) 776-5602

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1154523793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "WEST BLD STE 230",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452603",
            "telephone_number": "979-776-5602",
            "fax_number": "979-776-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "WEST BLD STE 230",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778452603",
            "telephone_number": "979-776-5602",
            "fax_number": "979-776-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY WOMENS CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "979-776-5602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.