Active NPI
BCGG PLLC
- Dental Clinic/Center
- San Antonio, TX
National Provider Identifier
1679068290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 31446
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.