Brazos Valley Plastic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

K9893 Issued in TX

Legal business name

BRAZOS VALLEY PLASTIC SURGERY CENTER

Practice address

2809 Earl Rudder Fwy S
Suite 101
College Station, TX 77845-6080

Phone

(979) 776-8825

Fax

(979) 776-2655

NPI assigned

Jul 31, 2013

Last updated

Jul 31, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Malcolm Rude, MDNPI 1306841994

Title

Owner/Physician

Phone

(979) 776-8825

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Malcolm J Rude, M. D.

  • Plastic Surgery Physician
  • College Station, TX
  • NPI 1306841994
  Authorized official Same address or phone

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1689006728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 EARL RUDDER FWY S",
            "address_2": "SUITE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456080",
            "telephone_number": "979-776-8825",
            "fax_number": "979-776-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 EARL RUDDER FWY S",
            "address_2": "SUITE 101",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456080",
            "telephone_number": "979-776-8825",
            "fax_number": "979-776-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "RUDE",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "979-776-8825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "K9893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brazos Valley Home Medical Equipment, LLC
• Brazos Valley Hospital, LLC (CapRock 24 Hour Emergency)
• Brazos Valley Nephrology
• Brazos Valley Oms PLLC (Brazos Valley Oral & Maxillofacial Surgery)
• Brazos Valley Pathology, PLLC
• Brazos Valley Plastic Surgery Center LLC
• Brazos Valley Psychiatry
• Brazos Valley Sleep Diagnostics
• Brazos Valley Smiles, PC
• Brazos Valley Speech Therapy, PLLC

• Ambulatory Surgical Clinic/Center in College Station, TX
• Providers in College Station, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.