Brazos Valley Foot Care PA

Primary specialty

PodiatristTaxonomy code 213E00000X

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

Aug 19, 2006

Last updated

Jan 17, 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 Louise Garza

Title

Billing Manager

Phone

(979) 776-6060

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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

  • Durable Medical Equipment & Medical Supplies
  • College Station, TX
  • NPI 1194280370
  NPD tax ID

Locations

Practitioners 7

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.

• Brian Todd Abbey, DPM

  • Podiatrist
  • College Station, TX
  • NPI 1407960917
  Medicare reassignment Care Compare group NPD
• Julie Nicole Albert, D.P.M.

  • Podiatrist
  • College Station, TX
  • NPI 1932146206
  Medicare reassignment Care Compare group NPD
• Syeda Zehra Kazmi, DPM

  • Podiatrist
  • College Station, TX
  • NPI 1538788534
  Medicare reassignment Care Compare group NPD
• Tyler Paul Kearney, D.P.M

  • Podiatrist
  • College Station, TX
  • NPI 1376788752
  Medicare reassignment Care Compare group NPD
• Eduardo Orihuela, DPM

  • Podiatrist
  • College Station, TX
  • NPI 1982682720
  Medicare reassignment Care Compare group NPD
• Robert G Aguilar, D.P.M.

  • Podiatrist
  • Brenham, TX
  • NPI 1043279631
  Medicare reassignment Care Compare group
• Farnoush F. Faez-Rezvani, DPM

  • Podiatrist
  • Katy, TX
  • NPI 1881642940
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1194839563",
    "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": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY FOOT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "979-776-6060"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080873501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "00613K",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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)
• Brazos Valley Nephrology

• Podiatrist in College Station, TX
• Providers in College Station, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.