Brazos Valley Hospital, LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

BRAZOS VALLEY HOSPITAL, LLC

Doing business as

CapRock 24 Hour Emergency

Practice address

948 William D Fitch
College Station, TX 77845

Phone

(979) 314-2323

Fax

(979) 314-2360

NPI assigned

Sep 11, 2014

Last updated

Apr 17, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

BRAZOS VALLEY HOSPITAL, LLCAs reported in NPPES

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

Authorized official

Name

Jon Anthony Venuti

Title

Director of Operations

Phone

(352) 284-1678

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CapRock 24 Hour Emergency Doing business as

Electronic endpoints 1

Part of

Brazos Valley Hospital LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brazos Valley Hospital, LLC

  dba Caprock Hospital

  • General Acute Care Hospital
  • Bryan, TX
  • NPI 1770099392
  NPPES parent name

Practitioners 2

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.

• Lon Kendall Young, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bryan, TX
  • NPI 1952356669
  NPD
• Timothy Brandon, M.D.

  • Emergency Medicine Physician
  • Bryan, TX
  • NPI 1851376974
  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1386045185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 WILLIAM D FITCH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-314-2323",
            "fax_number": "979-314-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 WILLIAM D FITCH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-314-2323",
            "fax_number": "979-314-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY HOSPITAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAZOS VALLEY HOSPITAL, LLC",
        "enumeration_date": "2014-09-11",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "VENUTI",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "352-284-1678"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "160141",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.caprockhealthsystem.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "948 WILLIAM D FITCH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CapRock 24 Hour Emergency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Care Clinic/Center in College Station, TX
• Providers in College Station, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.