Active NPI
Brazos Radiation Oncology, P.a.
- Radiation Oncology Physician
- Bryan, TX
National Provider Identifier
1568435774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- BRAZOS RADIATION ONCOLOGY, P.A.
- Practice address
- 2215 E Villa Maria Rd
Suite 130
Bryan, TX 77802-2548 - Phone
- (979) 774-0808
- Fax
- (979) 776-3028
- NPI assigned
- Feb 8, 2006
- Last updated
- Nov 6, 2012
- 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
- Dr. Alvin Lee Schlichtemeier, M.D.
- Title
- President
- Phone
- (979) 774-0808
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
2215 E Villa Maria Rd
Suite 130
Bryan, TX 77802-2548
Mailing address
PO Box 2289
Coppell, TX 75019-8289
Phone (972) 745-1429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81701701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Radiation Oncology Physician
- Bryan, TX
- NPI 1366415416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1568435774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2289",
"city": "COPPELL",
"state": "TX",
"postal_code": "750198289",
"telephone_number": "972-745-1429",
"fax_number": "972-393-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 E VILLA MARIA RD",
"address_2": "SUITE 130",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022548",
"telephone_number": "979-774-0808",
"fax_number": "979-776-3028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAZOS RADIATION ONCOLOGY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-08",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "SCHLICHTEMEIER",
"authorized_official_first_name": "ALVIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-774-0808",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81701701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
- Brazos Hypertension and Kidney Care PLLC
- Brazos Lung Association, L.L.P.
- Brazos Maternal and Child Health Clinic, Inc. (The Prenatal Clinic)
- Brazos Orthopedic Physical Therapy, P.C.
- Brazos Prof. Opt.
- Brazos Transit District
- Brazos Valley Cardiology
- Brazos Valley Center for Independent Living (Bvcil)
- Brazos Valley Colorectal Surgery, PLLC
- Brazos Valley Community Action Agency Inc (Bryan College Station CHC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.