Organization Active NPI

Brazos Valley Sleep Diagnostics

  • Registered Respiratory Therapist
  • College Station, TX
National Provider Identifier
1396799375
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
57013 Issued in TX
Legal business name
BRAZOS VALLEY SLEEP DIAGNOSTICS
Practice address
702 University Dr E
Ste. F-100
College Station, TX 77840-1896
Phone
(979) 846-1026
Fax
(979) 846-1041
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Mr. Thomas A. Logan, RRT
Title
Owner
Phone
(979) 846-1026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 227900000X 57013 TX Primary

Addresses

Primary practice location

702 University Dr E
Ste. F-100
College Station, TX 77840-1896

Mailing address

PO Box 3576
Bryan, TX 77805-3576
Phone (979) 846-1026

National Provider Directory

National Provider Directory

Locations

4301 Carter Creek Pkwy
Ste 101
Bryan, TX 77802
Phone (919) 268-6749

702 University Dr E
Ste F100
College Station, TX 77840
Phone (979) 846-1026

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1396799375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3576",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778053576",
            "telephone_number": "979-846-1026",
            "fax_number": "979-846-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 UNIVERSITY DR E",
            "address_2": "STE. F-100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401896",
            "telephone_number": "979-846-1026",
            "fax_number": "979-846-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY SLEEP DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-846-1026",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": "TX",
            "license": "57013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.