NPIMap

Organization Active NPI

Brazos Family Practice Associates

  • Family Medicine Physician
  • Bryan, TX
National Provider Identifier
1386772010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRAZOS FAMILY PRACTICE ASSOCIATES
Practice address
2210 E 29TH St
Bryan, TX 77802-1903
Phone
(979) 821-6300
Fax
(979) 823-4545
NPI assigned
Mar 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Sandra Hovorak
Title
Practice Manager
Phone
(979) 821-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2210 E 29TH St
Bryan, TX 77802-1903

Mailing address

2210 E 29TH St
Bryan, TX 77802-1903
Phone (979) 821-6300

National Provider Directory

National Provider Directory

Locations

1512 Holleman Dr
Ste 100
College Station, TX 77840

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386772010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021903",
            "telephone_number": "979-821-6300",
            "fax_number": "979-823-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021903",
            "telephone_number": "979-821-6300",
            "fax_number": "979-823-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS FAMILY PRACTICE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOVORAK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "979-821-6300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • 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.