Brazos Valley Psychiatry

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

BRAZOS VALLEY PSYCHIATRY

Practice address

1605 Rock Prairie Rd Ste 210
College Station, TX 77845-8358

Phone

(979) 977-2130

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Cody Wiebelhaus

Title

Office Manager

Phone

(713) 501-1600

Specialties & licenses 1

Addresses

Practitioners 2

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

• Crystal Louise Bigley, MS, LPC

  • Professional Counselor
  • College Station, TX
  • NPI 1396381117
  NPD (past)
• Rustin Dakota Carter, M.D.

  • Psychiatry Physician
  • Rancho Mirage, CA
  • NPI 1770902306

  Child & Adolescent Psychiatry

  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1366086118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 ROCK PRAIRIE RD STE 210",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458358",
            "telephone_number": "979-977-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 ROCK PRAIRIE RD STE 210",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458358",
            "telephone_number": "979-977-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "WIEBELHAUS",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-501-1600"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brazos Valley Nephrology
• Brazos Valley Oms PLLC (Brazos Valley Oral & Maxillofacial Surgery)
• Brazos Valley Pathology, PLLC
• Brazos Valley Plastic Surgery Center
• Brazos Valley Plastic Surgery Center LLC
• Brazos Valley Sleep Diagnostics
• Brazos Valley Smiles, PC
• Brazos Valley Speech Therapy, PLLC
• Brazos Valley Womens Center PA
• Brazos Weight and Wellness Medicine PLLC

• Child & Adolescent Psychiatry Physician in College Station, TX
• Providers in College Station, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.