NPIMap

Organization Active NPI

Tyler County Hospital District

Doing business as The Bradford at Brookside

  • Skilled Nursing Facility
  • Livingston, TX
National Provider Identifier
1639535131
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
142698 Issued in TX
Legal business name
TYLER COUNTY HOSPITAL DISTRICT
Doing business as
The Bradford at Brookside
Practice address
301 W Park
Livingston, TX 77351-8151
Phone
(936) 328-5021
Fax
(936) 328-5022
NPI assigned
Jan 13, 2016
Last updated
Jan 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Authorized official

Name
Dr. Sandra Gayle Wright, RN, ED.D
Title
Chief Executive Officer
Phone
(409) 283-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 142698 TX Primary

Addresses

Primary practice location

301 W Park
Livingston, TX 77351-8151

Mailing address

1100 W Bluff St
Woodville, TX 75979-4738
Phone (409) 283-6400

Other names 1

  • The Bradford at Brookside Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TCH Family Practice Clinic12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1100 W Bluff St
Woodville, TX 75979
Phone (409) 283-6400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1639535131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W BLUFF ST",
            "city": "WOODVILLE",
            "state": "TX",
            "postal_code": "759794738",
            "telephone_number": "409-283-6400",
            "fax_number": "409-283-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W PARK",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773518151",
            "telephone_number": "936-328-5021",
            "fax_number": "936-328-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "409-283-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN, ED.D"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "142698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bradford at Brookside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.