Brenham Clinic Assn

Organization Active NPI Internal Medicine Physician · Bellville, TX

NPI 1780680280 · NPPES record last updated Apr 20, 2008

Key facts

NPI
1780680280
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
F4241 (TX)
Legal business name
BRENHAM CLINIC ASSN
Practice address
235 W Palm St
Ste 106
Bellville, TX 77418-1300
Phone
(979) 865-9391
NPI assigned
Jun 21, 2005
Organization subpart
No

Authorized official

Name
Mrs. Gracie Slattery, RN
Title
Administrator
Phone
(979) 836-6153

Corporate family (same tax ID) 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

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

National Provider Directory

Tax ID family
Brenham Clinic Assn (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X G5283 TX
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X E8650 TX
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X F4241 TX Yes
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X M3467 TX
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X H0692 TX
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X F3730 TX
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X K6753 TX
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208000000X E2546 TX
Diagnostic Radiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085R0202X E8707 TX
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X J1755 TX
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208600000X G5655 TX

Addresses

Primary practice location

235 W Palm St
Ste 106
Bellville, TX 77418-1300

Mailing address

600 North Park St
Brenham, TX 77833-2610
Phone (979) 836-6153

Other providers in Bellville, TX

All providers in Bellville, TX · Internal Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.