Brantley Dialysis LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BRANTLEY DIALYSIS LLC

Practice address

12249 Rojas Dr
El Paso, TX 79928-7750

Phone

(915) 790-0839

Fax

(915) 858-1063

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

James K Hilger

Title

Chief Accounting Officer

Phone

(253) 382-1919

Specialties & licenses 1

Addresses

Other names 1

• Ridgecrest Dialysis Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Burlington, WA
  • NPI 1932595584

  Member Of

  NPD member

Locations

Practitioners 1

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

• Pritika Shrivastava, M.D.

  • Nephrology Physician
  • Royal Oak, MI
  • NPI 1508067786
  NPD (past)

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1467759183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 VIRGINIA WAY",
            "address_2": "4TH FLOOR, L&C DEPT",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277569",
            "telephone_number": "615-320-4550",
            "fax_number": "866-500-8578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12249 ROJAS DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799287750",
            "telephone_number": "915-790-0839",
            "fax_number": "915-858-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANTLEY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "HILGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER",
        "authorized_official_telephone_number": "253-382-1919"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgecrest Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Warren Brandrup, D.O.
• Barbara Jean Brandt, PH.D.
• Kofi N Bransah
• Christopher Aaron Bransford, PHARM.D.
• Richard Wesley Bransford, D.D.S.
• Brianna Nicole Brassfield
• Aitsha Bravo
• Elizabeth Heredia Bravo, MSN, RN, CPNP
• Anna Marie Braxton
• Lakesha Thomas Braxton, DC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.