Allergy Associates of Brazos Valley

Primary specialty

SpecialistTaxonomy code 174400000X

License

F2846 Issued in TX

Legal business name

ALLERGY ASSOCIATES OF BRAZOS VALLEY

Practice address

3306 Longmire Dr
College Station, TX 77845-5812

Phone

(979) 485-0571

Fax

(979) 485-0575

NPI assigned

Aug 30, 2005

Last updated

Nov 20, 2009By 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

Barry R Paull, M.D.NPI 1285625699

Title

Chief of Staff

Phone

(979) 485-0571

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.

• Barry R Paull, M.D.

  • Allergy & Immunology Physician
  • College Station, TX
  • NPI 1285625699
  Authorized official Same address or phone

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1508859133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 LONGMIRE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455812",
            "telephone_number": "979-485-0571",
            "fax_number": "979-485-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 LONGMIRE DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455812",
            "telephone_number": "979-485-0571",
            "fax_number": "979-485-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY ASSOCIATES OF BRAZOS VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "PAULL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF OF STAFF",
        "authorized_official_telephone_number": "979-485-0571",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F2846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085611401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115516002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Carl Allen, D.C.
• Nathan Allen, DDS
• Olivia Jacqueline Allen
• Samuel W. Allen, PA
• Allen's Nutech Inc. (NuTech, Inc.)
• Allergy Associates of the Brazos Valley
• Allied Pediatricians of Texas, PLLC
• Kelsey Alo, PA-C
• Alomega Home Health Care LLC
• Alomega Home Health Care-Sa,LLC

• Specialist in College Station, TX
• Providers in College Station, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.