Active NPI
Brazos Lung Association, L.L.P.
- Pulmonary Disease Physician
- Bryan, TX
National Provider Identifier
1457579120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- BRAZOS LUNG ASSOCIATION, L.L.P.
- Practice address
- 2700 E 29TH St Ste 260
Bryan, TX 77802 - Phone
- (979) 774-0012
- Fax
- (979) 774-4636
- NPI assigned
- Apr 20, 2007
- Last updated
- May 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Lynn Cole
- Title
- Billing
- Phone
- (979) 774-0012
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | TX | ||
| Pulmonary Disease Physician | 207RP1001X | TX | Primary |
Addresses
Primary practice location
2700 E 29TH St Ste 260
Bryan, TX 77802
Mailing address
2700 E 29TH St Ste 260
Bryan, TX 77802-2596
Phone (979) 774-0012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 083812001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559088000000",
"number": "1457579120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 E 29TH ST STE 260",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022596",
"telephone_number": "979-774-0012",
"fax_number": "979-774-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 E 29TH ST STE 260",
"city": "BRYAN",
"state": "TX",
"postal_code": "77802",
"telephone_number": "979-774-0012",
"fax_number": "979-774-4636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAZOS LUNG ASSOCIATION, L.L.P.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2019-05-29",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "979-774-0012"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "083812001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
- Brazos Bariatrics, PLLC
- Brazos Community Counseling PLLC
- Brazos County
- Brazos Family Practice Associates
- Brazos Hypertension and Kidney Care PLLC
- Brazos Maternal and Child Health Clinic, Inc. (The Prenatal Clinic)
- Brazos Orthopedic Physical Therapy, P.C.
- Brazos Prof. Opt.
- Brazos Radiation Oncology, P.a.
- Brazos Transit District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.