NPIMap

Organization Active NPI

Central Texas Digestive Disease Association, PA

Doing business as Central Texas Gastroenterology Consultants

  • Gastroenterology Physician
  • Bryan, TX
National Provider Identifier
1639260763
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
CENTRAL TEXAS DIGESTIVE DISEASE ASSOCIATION, PA
Doing business as
Central Texas Gastroenterology Consultants
Practice address
2206 E Villa Maria Rd
Bryan, TX 77802-2547
Phone
(979) 776-4600
Fax
(979) 774-0877
NPI assigned
Sep 27, 2006
Last updated
Aug 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Authorized official

Name
Angela Ramsey, MBA, MSN, RN
Title
Practice Manager
Phone
(979) 776-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

2206 E Villa Maria Rd
Bryan, TX 77802-2547

Mailing address

2206 E Villa Maria Rd
Bryan, TX 77802-2547
Phone (979) 776-4600

Other names 1

  • CENTRAL TEXAS GASTROENTEROLOGY CONSULTANTS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address centraltexasgi@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614001197 TX Part B Supplier - Clinic/Group Practice 4284618711 Receives reassigned benefits from 10 practitioners
Practice locations: College Station, TX; Bryan, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2007716Central Texas Digestive Disease Association2206 E Villa Maria, Bryan, TX 77802AccreditationMay 7, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2206 E Villa Maria Rd
Bryan, TX 77802
Phone (979) 774-4211

Interoperability endpoints

  • Direct secure messaging: centraltexasgi@directaddress.net

Practitioners & affiliated clinicians

Practitioners 12

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598832000000",
    "number": "1639260763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022547",
            "telephone_number": "979-776-4600",
            "fax_number": "979-774-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022547",
            "telephone_number": "979-776-4600",
            "fax_number": "979-774-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS DIGESTIVE DISEASE ASSOCIATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "979-776-4600",
        "authorized_official_credential": "MBA, MSN, RN"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "centraltexasgi@directaddress.net",
            "affiliation": "N",
            "address_1": "2206 E Villa Maria Rd",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778022547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CENTRAL TEXAS GASTROENTEROLOGY CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRAL TEXAS GASTROENTEROLOGY CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.