Brenham Clinic Association PA

Key facts

NPI: 1619081106
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
License: F4241 (TX)
Legal business name: BRENHAM CLINIC ASSOCIATION PA
Practice address: 235 West Palm
Ste 106
Bellville, TX 77418-1372
Phone: (979) 836-6153
NPI assigned: Aug 19, 2006
Organization subpart: No

Authorized official

Name: Gracie Slattery
Title: Administrator
Phone: (979) 836-6153

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Bobby Wayne Marek, MD Internal Medicine Physician · Brenham, TX · NPI 1063415149

NPD (past) INTERNAL MEDICINE

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207Q00000X	G5283	TX
Internal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207R00000X	E8650	TX
Internal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207R00000X	F4241	TX	Yes
Internal Medicine Physician Group: 193200000X MULTI-SPECIALTY GROUP	207R00000X	M8802	TX
Obstetrics & Gynecology Physician Group: 193200000X MULTI-SPECIALTY GROUP	207V00000X	H0692	TX
Obstetrics & Gynecology Physician Group: 193200000X MULTI-SPECIALTY GROUP	207V00000X	M4810	TX
Pediatrics Physician Group: 193200000X MULTI-SPECIALTY GROUP	208000000X	F3730	TX
Pediatrics Physician Group: 193200000X MULTI-SPECIALTY GROUP	208000000X	K6753	TX
Pediatrics Physician Group: 193200000X MULTI-SPECIALTY GROUP	208000000X	E2546	TX
Pediatrics Physician Group: 193200000X MULTI-SPECIALTY GROUP	208000000X	N1685	TX

Addresses

Primary practice location

235 West Palm
Ste 106
Bellville, TX 77418-1372

Mailing address

600 North Park
Brenham, TX 77833-2610
Phone (979) 836-6153

Other identifiers

Identifier	Type	State	Issuer
137248411	Medicaid	TX

Other providers in Bellville, TX

Bellville Medical Center
Don R Bosse, M.D.
Jennifer Lynn Brandes, MPT
Brazos Family Practice, PLLC
Brenham Clinic Assn
Brookshire Brothers Inc
Helen Torrey Burchfield, MSN, RN, FNP-BC
C Christophe Gay MD PA
Calvary Care Group, Inc.
Calvarycaregroup Inc

All providers in Bellville, TX · Internal Medicine Physician in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.