Waco Rheumatology PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

WACO RHEUMATOLOGY PLLC

Practice address

611 W Hwy 6 Ste 101
Waco, TX 76710-7545

Phone

(254) 755-4582

NPI assigned

Nov 19, 2024

Last updated

Jan 30, 2025By 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

Dr. Bradly Alexander Kimbrough, MDNPI 1861998007

Title

Employee

Phone

(254) 421-1174

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

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.

• Bradly Alexander Kimbrough, MD

  • Rheumatology Physician
  • Waco, TX
  • NPI 1861998007
  Medicare reassignment NPD Authorized official
• Neha Bandeali, FNP-C, FNP-BC

  • Nurse Practitioner
  • Waco, TX
  • NPI 1649091869
  Medicare reassignment NPD
• Christina A Armijo, FNP

  • Nurse Practitioner
  • Waco, TX
  • NPI 1144684317
  Medicare reassignment
• Srijana Dhakal Baniya, APN

  • Nurse Practitioner
  • Waco, TX
  • NPI 1205349933
  NPD

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1316762818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W HWY 6 STE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107545",
            "telephone_number": "254-755-4582",
            "fax_number": "254-755-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W HWY 6 STE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107545",
            "telephone_number": "254-755-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO RHEUMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "KIMBROUGH",
        "authorized_official_first_name": "BRADLY",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "254-421-1174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waco PM&R Group, PA
• Waco Primary Care, P.a.
• Waco Prosthetics, Inc. (Innovative Prosthetics)
• Waco Psychological Associates
• Waco Radiology PA
• Waco SN Opco LLC (Alpha Skilled Nursing & Rehab)
• Waco SNF LLC (Wesley Woods Health & Rehabilitation)
• Waco Surgical Center LTD
• Waco Surgical Clinic P a
• Waco Texas Emergency Center LLC

• Rheumatology Physician in Waco, TX
• Providers in Waco, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.