Revive Men'S Health & Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

REVIVE MEN'S HEALTH & WELLNESS

Practice address

2700 Earl Rudder Fwy S Ste 2100
College Station, TX 77845-5038

Phone

(979) 282-5099

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Brandi MoralesNPI 1548841299

Title

NP

Phone

(979) 282-5099

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandi Morales, FNP-C

  • Family Nurse Practitioner
  • College Station, TX
  • NPI 1548841299
  NPD Authorized official

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1235901711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14962 FM 3090 RD",
            "city": "ANDERSON",
            "state": "TX",
            "postal_code": "778307127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 EARL RUDDER FWY S STE 2100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455038",
            "telephone_number": "979-282-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MEN'S HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "979-282-5099"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remarkable LTC Partners of Brazos Valley, LP
• Jacob Alexander Rendon, DDS
• Ariel Rennspies, PA-C
• Restore College Station LLC
• David Restrepo, CRNA
• Rew Homecare, Inc.
• Heather Leigh Reynolds, LPC-S
• Jabe Tyler Reynolds
• Zane Reynolds
• Brittany Rae Rhinehart, MPAS, PA-C

• Family Nurse Practitioner in College Station, TX
• Providers in College Station, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.