Brazos Valley P.T., P.C.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BRAZOS VALLEY P.T., P.C.

Practice address

1716 Briarcrest Dr
Suite 101
Bryan, TX 77802-2763

Phone

(979) 846-2878

Fax

(979) 846-2877

NPI assigned

Apr 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Gary Alan Johnson, P.T.NPI 1992827802

Title

Ceo

Phone

(979) 846-2878

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Gary Alan Johnson, P.T.

  • Specialist
  • Bryan, TX
  • NPI 1992827802
  Authorized official Same address or phone

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417079245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 BRIARCREST DR",
            "address_2": "SUITE 101",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022763",
            "telephone_number": "979-846-2878",
            "fax_number": "979-846-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 BRIARCREST DR",
            "address_2": "SUITE 101",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022763",
            "telephone_number": "979-846-2878",
            "fax_number": "979-846-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY P.T., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-846-2878",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS P.T.",
            "identifier": "8T1220",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGROUP OUTPATIENT P.T.",
            "identifier": "0041JZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brazos Valley Endocrinology PA
• Brazos Valley ER, LLC (Physicians PremiER)
• Brazos Valley Hematology Oncology Associates, PA (Brazos Valley Cancer Center)
• Brazos Valley Hospital, LLC (Caprock Hospital)
• Brazos Valley Obstetric Hospitalist, PA
• Brazos Valley Physicians Alliance (Central Texas Sports Medicine & Orthopaedics)
• Brazos Valley Physicians Alliance (Central Texas Sports Medicine & Orthopaedics)
• Brazos Valley Physicians Organization,Mso-LLC (The Physicians Pain and Spine Centre)
• Brazos Valley Physicians Organization,Mso-LLC (The Physicians Pain and Spine Centre)
• Brazos Valley Psychological Services PA

• Physical Therapy Clinic/Center in Bryan, TX
• Providers in Bryan, TX by specialty
• Physical Therapy Clinic/Center in Texas

• 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.