Dudycha Pain Clinic PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

N1310 Issued in TX

Legal business name

DUDYCHA PAIN CLINIC PLLC

Doing business as

BCS Pain Clinic

Practice address

3351 University Dr. E.
Suite 111
Bryan, TX 77802

Phone

(979) 764-7246

Fax

(979) 764-7242

NPI assigned

Jul 1, 2012

Last updated

Jun 5, 2022By 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

Dr. Benjamin William Dudycha, M.D.NPI 1750572681

Title

Physician

Phone

(979) 764-7246

Specialties & licenses 1

Addresses

Other names 1

• BCS Pain Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Benjamin W. Dudycha, M.D.

  • Interventional Pain Medicine Physician
  • Bryan, TX
  • NPI 1750572681
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654387200000",
    "number": "1528322807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 UNIVERSITY DR. E.",
            "address_2": "SUITE 111",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-764-7246",
            "fax_number": "979-764-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 UNIVERSITY DR. E.",
            "address_2": "SUITE 111",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "979-764-7246",
            "fax_number": "979-764-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUDYCHA PAIN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-01",
        "last_updated": "2022-06-05",
        "certification_date": "2022-06-05",
        "status": "A",
        "authorized_official_last_name": "DUDYCHA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "979-764-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "TX",
            "license": "N1310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BCS Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BCS Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Antonia Drysdale, NUTR.
• Francine Baldwin Duane, LCSW
• Dubuis Health System, Inc. (Dubuis Hospital of Bryan)
• Abdulaziz Faisal Dudeen, DDS
• Janice Dudley, SPEECH THER.
• Benjamin W. Dudycha, M.D.
• David William Dudycha, D.C.
• Luis Angel Duharte Vidaurre, MD
• Bryan Thomas Duncan, PH.D.
• Danielle Renee Duncan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.