Organization Active NPI

Caprock Urgent Care, LLC

  • Urgent Care Clinic/Center
  • College Station, TX
National Provider Identifier
1780159301
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CAPROCK URGENT CARE, LLC
Practice address
1289 University Dr. East
College Station, TX 77840
Phone
(979) 314-1105
NPI assigned
Oct 10, 2018
Organization subpart
Yes
Parent organization
CAPROCK URGENT CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Authorized official

Name
Dr. Timothy Michael Brandon, MD
Title
Medical Director
Phone
(979) 314-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1289 University Dr. East
College Station, TX 77840

Mailing address

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

National Provider Directory

National Provider Directory
Part of
Caprock Urgent Care LLC

Locations

1289 University Dr
College Station, TX 77840
Phone (979) 314-1105

Practitioners & affiliated clinicians

Practitioners 1

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": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1780159301",
    "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": "1289 UNIVERSITY DR. EAST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77840",
            "telephone_number": "979-314-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPROCK URGENT CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPROCK URGENT CARE, LLC",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "979-314-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.