NPIMap

Organization Active NPI

Washington County

  • Public Health & General Preventive Medicine Physician
  • Brenham, TX
National Provider Identifier
1255682001
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MW2156974 Issued in TX
Legal business name
WASHINGTON COUNTY
Practice address
1875 Highway 290 W
Brenham, TX 77833-5217
Phone
(979) 277-6267
Fax
(979) 277-6270
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Kevin Deramus
Title
EMS Director
Phone
(979) 277-6267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X MW2156974 TX Primary

Addresses

Primary practice location

1875 Highway 290 W
Brenham, TX 77833-5217

Mailing address

1875 Highway 290 W
Brenham, TX 77833-5217
Phone (979) 277-6267

Other names 1

  • Washington County EMS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Washington County2 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.

Locations

1875 Highway 290 W
Brenham, TX 77833
Phone (409) 836-3783

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1255682001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 HIGHWAY 290 W",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335217",
            "telephone_number": "979-277-6267",
            "fax_number": "979-277-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 HIGHWAY 290 W",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335217",
            "telephone_number": "979-277-6267",
            "fax_number": "979-277-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "DERAMUS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "979-277-6267"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "MW2156974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.