NPIMap

Organization Active NPI

Belknap Family Practice, PLLC

Doing business as Brazos Family Clinic

  • Family Medicine Physician
  • Graham, TX
National Provider Identifier
1588024707
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BELKNAP FAMILY PRACTICE, PLLC
Doing business as
Brazos Family Clinic
Practice address
618 Oak St
Graham, TX 76450-3040
Phone
(940) 521-1510
Fax
(940) 539-4748
NPI assigned
Mar 1, 2016
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph L Clark IV, FNPNPI 1467776484
Title
Owner/Managing Member
Phone
(940) 521-1510

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
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

618 Oak St
Graham, TX 76450-3040

Mailing address

618 Oak St
Graham, TX 76450-3040
Phone (940) 521-1510

Other names 1

  • Brazos Family Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

618 Oak St
Graham, TX 76450
Phone (940) 521-1510

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": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1588024707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 OAK ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503040",
            "telephone_number": "940-521-1510",
            "fax_number": "940-539-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 OAK ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503040",
            "telephone_number": "940-521-1510",
            "fax_number": "940-539-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELKNAP FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "940-521-1510",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brazos Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.