Brazos Valley Foot Care PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRAZOS VALLEY FOOT CARE PA

Practice address

3312 Longmire Dr
College Station, TX 77845-5812

Phone

(979) 776-6060

Fax

(979) 776-6172

NPI assigned

Feb 1, 2019

Last updated

Feb 1, 2019By 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

Gina L Parker

Title

Billing Manager

Phone

(979) 776-6060

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Brazos Valley Foot Care PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brazos Valley Foot Care PA

  • Podiatrist
  • College Station, TX
  • NPI 1194839563
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert G Aguilar, D.P.M.

  • Podiatrist
  • Brenham, TX
  • NPI 1043279631
  NPD (past)
• Syeda Zehra Kazmi, DPM

  • Podiatrist
  • College Station, TX
  • NPI 1538788534
  NPD (past)

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1194280370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 LONGMIRE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455812",
            "telephone_number": "979-776-6060",
            "fax_number": "979-776-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 LONGMIRE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455812",
            "telephone_number": "979-776-6060",
            "fax_number": "979-776-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Brenham",
            "state": "TX",
            "postal_code": "778335412",
            "country_code": "US",
            "telephone_number": "979-836-2992",
            "fax_number": "979-776-6172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAZOS VALLEY FOOT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "979-776-6060"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080873501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brazos Valley Community Action Agency Inc. (Health Point ABC)
• Brazos Valley Community Action Agency, Inc. (HealthPoint)
• Brazos Valley Community Action Agency, Inc. (HealthPoint)
• Brazos Valley Dental Group, LLC
• Brazos Valley Eyecare PLLC
• Brazos Valley Foot Care PA
• Brazos Valley Hematology Oncology Associates, PA (Cancer Clinic Pharmacy)
• Brazos Valley Home Health Services, LLC
• Brazos Valley Home Medical Equipment, LLC
• Brazos Valley Hospital, LLC (CapRock 24 Hour Emergency)

• Durable Medical Equipment & Medical Supplies in College Station, TX
• Providers in College Station, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.