Organization Active NPI

BCGG PLLC

  • Dental Clinic/Center
  • San Antonio, TX
National Provider Identifier
1679068290
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
31446 Issued in TX
Legal business name
BCGG PLLC
Practice address
19787 W Ih 10 Ste 204
San Antonio, TX 78257-1695
Phone
(317) 418-7511
NPI assigned
Jun 26, 2018
Last updated
Jun 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Dr. Brittany Grady, DDS
Title
General Dentist/Practice Owner
Phone
(317) 418-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 31446 TX Primary

Addresses

Primary practice location

19787 W Ih 10 Ste 204
San Antonio, TX 78257-1695

Mailing address

8231 Mystic Chase
Boerne, TX 78015-6578
Phone (317) 418-7511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1679068290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8231 MYSTIC CHASE",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780156578",
            "telephone_number": "317-418-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19787 W IH 10 STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571695",
            "telephone_number": "317-418-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCGG PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "GENERAL DENTIST/PRACTICE OWNER",
        "authorized_official_telephone_number": "317-418-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "31446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.