Organization Active NPI

Brazos Radiation Oncology, P.a.

  • Radiation Oncology Physician
  • Bryan, TX
National Provider Identifier
1568435774
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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.NPI 1366415416
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)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
81701701MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.