Brazos Valley Community Action Agency, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Bryan, TX
NPI 1649265646 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1649265646
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
- Practice address
- 3370 S Texas Ave
Suite B
Bryan, TX 77802-3127 - Phone
- (979) 595-1700
- Fax
- (979) 595-1740
- NPI assigned
- Sep 15, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
Authorized official
- Name
- Mary Wauters
- Title
- Ceo
- Phone
- (979) 383-2345
Owners & managing parties with NPI records 1
-
Maryann Miyun Choi I, M.D.
Other NPIs on the same Medicare enrollment 14
Other NPIs with the same Medicare PAC ID 14
Corporate family (same tax ID) 18
Related certifications (CCN) 2
Practitioners 76
-
Michele Armstrong, WHNP
-
Shirley Jeanne Baker, PA-C
-
Kara Ann Bell, LCSW
-
Neile Elaine Briden, APRN, FNP-C
-
Amy Bopha Bun, PMHNP
-
Brenda Kay Clarke, FNP-C
-
Chanseya A Davis, MD
-
Abara Dibaki, PMHNP-BC
-
Roland R Garza, MD
-
Kimberly Allison Glidewell, M.S., PA-C
-
Courtney N Groves, FNP
-
Shelly Dawn Hitchcock, FNP-C
-
Jerry Don Lloyd, FNP-C
-
Crystal James Mable, FNP
-
Nyasha Manyame, ARNP
-
Holly Mariam, LCSW
-
Kimberly McBride, FNP-BC
-
Blake Kent McDaniel, FNP-C
-
Donna Ohde, FNP-C
-
Daniel Lawrence Quan, D.O.
-
Lawrence Quan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Federally qualified health center certification: CCN 451942
- Legal name
- BRAZOS VALLEY COMMUNITY ACTION AGENCY INC
- Doing business as
- HEALTHPOINT
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Sep 27, 2002
- Last certification
- Sep 27, 2002
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 17, 1972 in TX
- Enrollment address
- 3370 S Texas Ave
Bryan, TX 77802-3127
All disclosed owners & managing parties 17
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer Mertz |
Corporate Officer |
Jul 15, 2019 | 12% |
| Maryann Miyun Choi |
Corporate Officer |
Feb 5, 2024 | 12% |
| Theresa Sabella |
Corporate Officer |
Feb 15, 2021 | 25% |
| Operational/Managerial Control |
Feb 15, 2021 | ||
| Mike Sutherland |
Corporate Director |
Aug 12, 2010 | |
| Debra Makowsky |
Corporate Officer |
Feb 5, 2024 | 12% |
| W-2 Managing Employee |
Feb 5, 2024 | ||
| William Rios |
Corporate Director |
Jun 1, 2021 | |
| Mathew Woods |
Corporate Director |
Jun 1, 2021 | |
| Jacqueln Morrow |
Corporate Director |
Jun 1, 2021 | |
| Janie O Velasquez |
Corporate Director |
Apr 11, 2014 | |
| James McCullough |
Corporate Director |
May 10, 2012 | |
| Tasha de la Torre |
Corporate Director |
Jun 1, 2024 | |
| Carolyn Konecny |
Corporate Officer |
Aug 19, 2024 | 15% |
| Sally Guajardo |
Corporate Director |
Jun 1, 2023 | |
| Kimberley Usher |
Corporate Director |
Sep 13, 2017 | |
| Brian Thurston |
Corporate Officer |
Feb 1, 2024 | 12% |
| Mary Wauters |
Corporate Officer |
Apr 4, 2022 | 12% |
| W-2 Managing Employee | Apr 1, 2026 | ||
| Laquita Clewis |
Corporate Director |
Sep 13, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030109000017 | TX | Part a Provider - Federally Qualified Health Center (FQHC) | 4284542127 | Practice locations: Bryan, TX |
| O20040708001095 | TX | Part B Supplier - Clinic/Group Practice | 4284542127 |
Receives reassigned benefits from 61 practitioners 14 other NPIs on this enrollment Practice locations: Trinity, TX; Rockdale, TX; Navasota, TX; Madisonville, TX; Hempstead, TX; Hearne, TX; College Station, TX; Centerville, TX… |
National Provider Directory
- Tax ID family
- Brazos Valley Community
- Part of
- Brazos Valley Community
Locations
1615 Barak Ln
Ste 6
Bryan, TX 77802
Phone (979) 846-2500
624 Mary Lake Dr
Bryan, TX 77801
Phone (979) 846-2500
804 S Texas Ave
Bryan, TX 77803
Phone (979) 361-9851
1700 E Commerce St
Buffalo, TX 75831
Phone (903) 289-1068
404 E 22nd St
Cameron, TX 76520
Phone (979) 977-6980
1500 University Dr E
College Station, TX 77840
Phone (979) 693-7400
808 W US Highway 79
Franklin, TX 77856
Phone (979) 383-2340
1002 W Brown St
Hearne, TX 77859
Phone (979) 279-0701
300 Post Oak St
Hearne, TX 77859
Phone (979) 279-2451
1000 W Brown St
Hearne, TX 77859
Phone (979) 279-0701
100 W Cross St
Madisonville, TX 77864
Phone (409) 348-2631
813 S State St
Ste 105
Madisonville, TX 77864
Phone (936) 348-3398
702 S La Salle St
Navasota, TX 77868
Phone (936) 825-7969
625 W Belton Ave
Rm 25
Rockdale, TX 76567
Phone (512) 883-4370
1338 W US Highway 79
Rm C10
Rockdale, TX 76567
Phone (512) 883-4370
17202 State Highway 36 S
Somerville, TX 77879
Phone (979) 289-1145
315 Prospect Dr
Trinity, TX 75862
Phone (936) 594-3595
2402 Waller St
Waller, TX 77484
Phone (979) 977-6380
19455 Stokes Rd
Waller, TX 77484
Phone (979) 977-6395
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
3370 S Texas Ave
Suite B
Bryan, TX 77802-3127
Mailing address
1500 University Dr E
College Station, TX 77840-2600
Phone (979) 383-2340
Other practice location 1
623 W Lassater
Centerville, TX 75833-1959
Phone (903) 289-1070
Other practice location 2
808 W US Highway 79
Franklin, TX 77856-1728
Phone (979) 828-1450
Other practice location 3
712 S May St
Madisonville, TX 77864-2564
Phone (936) 348-3418
Other practice location 4
315 Prospect Dr
Trinity, TX 75862-6202
Phone (936) 744-1414
Other practice location 5
1615 Barak Ln
Bryan, TX 77802-3315
Phone (979) 846-2500
Other practice location 6
215 FM 1488 Rd
Hempstead, TX 77445-7866
Phone (979) 826-8200
Other practice location 7
300 Post Oak St
Hearne, TX 77859-2557
Phone (979) 279-3451
Other practice location 8
1301 Memorial Dr
Bryan, TX 77802-5205
Phone (979) 731-4520
Other practice location 9
8310 Highway 6 Loop
Navasota, TX 77868-3248
Phone (936) 825-0000
Other practice location 10
1602 Rock Prairie Rd
College Station, TX 77845-8306
Phone (979) 693-7400
Other practice location 11
1103 Woodson Dr
Caldwell, TX 77836-1052
Phone (979) 567-7080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154467801 | Medicaid | TX |
Other names
- HealthPoint
- HealthPoint BCS
Other providers in Bryan, TX
- Brazos Valley Colorectal Surgery, PLLC
- Brazos Valley Community Action Agency Inc
- Brazos Valley Community Action Agency, Inc
- Brazos Valley Community Action Agency, Inc.
- Brazos Valley Community Action Agency, Inc.
- Brazos Valley Community Action Programs
- Brazos Valley Council on Alcohol & Substance Abuse
- Brazos Valley Endocrinology PA
- Brazos Valley ER, LLC
- Brazos Valley Hematology Oncology Associates, PA
All providers in Bryan, TX · Federally Qualified Health Center (FQHC) in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.