Brazos Valley Post Acute Physician and Associates PLLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

BRAZOS VALLEY POST ACUTE PHYSICIAN AND ASSOCIATES PLLC

Practice address

2626 S Loop W Ste 265
Houston, TX 77054-5636

Phone

(713) 796-9955

NPI assigned

Aug 4, 2023

Last updated

Aug 7, 2023By 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

Biju Oommen, MD, CMDNPI 1801856240

Title

Owner

Phone

(281) 389-0366

Specialties & licenses 4

Addresses

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.

• Biju Oommen, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1801856240
  Authorized official Same address or phone

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1487336848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545636",
            "telephone_number": "713-796-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545636",
            "telephone_number": "713-796-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY POST ACUTE PHYSICIAN AND ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "OOMMEN",
        "authorized_official_first_name": "BIJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-389-0366",
        "authorized_official_credential": "MD, CMD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brazos Valley Ambulance, LLC
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• Dayannis Brea Nunez
• Bread of Life Care Services, Inc.
• Bread of Life Healthcare Provider
• Bread of Life Pediatrics PLLC

• Geriatric Medicine (Internal Medicine) Physician in Houston, TX
• Providers in Houston, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.