NPIMap

Organization Active NPI

Brazos Valley Hospital, LLC

  • General Acute Care Hospital
  • Bryan, TX
National Provider Identifier
1770099392
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BRAZOS VALLEY HOSPITAL, LLC
Practice address
3134 Briarcrest Dr
Bryan, TX 77802-3014
Phone
(979) 314-1105
NPI assigned
Dec 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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

Authorized official

Name
Ms. Kelly Marino
Title
Director of Billing
Phone
(979) 314-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

3134 Briarcrest Dr
Bryan, TX 77802-3014

Mailing address

1630 Briarcrest Dr Ste 100
Bryan, TX 77802-2709
Phone (979) 314-1105

Other names 1

  • Caprock Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

3134 Briarcrest Dr
Bryan, TX 77802
Phone (979) 314-1105

1630 Briarcrest Dr
#100
Bryan, TX 77802
Phone (979) 314-2323

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513641600000",
    "number": "1770099392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 BRIARCREST DR STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022709",
            "telephone_number": "979-314-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3134 BRIARCREST DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023014",
            "telephone_number": "979-314-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2017-12-19",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "979-314-1105",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caprock Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2017; 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.