Sulik Sheridan Bryan Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

101864 Issued in TX

Legal business name

SULIK SHERIDAN BRYAN INC

Doing business as

Sheridan of Bryan

Practice address

2001 E 29TH St
Bryan, TX 77802-1954

Phone

(979) 822-6611

Fax

(979) 822-0462

NPI assigned

Dec 7, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lynda Beard

Title

Cao

Phone

(979) 846-4633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sheridan of Bryan Doing business as

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275518722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4045",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778054045",
            "telephone_number": "979-846-4633",
            "fax_number": "979-846-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021954",
            "telephone_number": "979-822-6611",
            "fax_number": "979-822-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULIK SHERIDAN BRYAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "979-846-4633",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "101864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR NUMBER",
            "identifier": "5450",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan of Bryan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camryn Kara Strong
• Darren Paul Stucker, PA-C
• Elizabeth Suarez, M.D.
• Sue C. Simpson
• Ellen Elizabeth Sugarek, PA-C
• Joshua David Sultz, M.D.
• Summit Health & Rehab Services, Inc
• Huilin Sun
• Carol B. Suter, M.S., R.D., L.D.
• Carl Andrew Svajda, D.D.S

• Skilled Nursing Facility in Bryan, TX
• Providers in Bryan, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.