BCS Allergy & Asthma

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

M6388 Issued in TX

Legal business name

BCS ALLERGY & ASTHMA

Practice address

1602 Rock Prairie Rd
Ste 270
College Station, TX 77845-8306

Phone

(979) 703-6112

Fax

(979) 703-6649

NPI assigned

Feb 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ganesh Shanmugam, MDNPI 1215148200

Title

Physician

Phone

(979) 703-6112

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Ganesh Shanmugam, MD

  • Allergy & Immunology Physician
  • College Station, TX
  • NPI 1215148200
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1396084380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "STE 270",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-703-6112",
            "fax_number": "979-703-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "STE 270",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-703-6112",
            "fax_number": "979-703-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCS ALLERGY & ASTHMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-11",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "SHANMUGAM",
        "authorized_official_first_name": "GANESH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "979-703-6112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "M6388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in College Station, TX
• Providers in College Station, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.