Brenham Clinic Assn

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F4241 Issued in 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

Last updated

Apr 20, 2008By 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

Mrs. Gracie Slattery, RN

Title

Administrator

Phone

(979) 836-6153

Specialties & licenses 11

Addresses

Tax ID family

Brenham Clinic Assn8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

• Brenham Clinic Assn

  • Internal Medicine Physician
  • Brenham, TX
  • NPI 1255337325
  NPD tax ID
• Brenham Clinic Assn

  • Pediatrics Physician
  • Brenham, TX
  • NPI 1528172012
  NPD tax ID
• Brenham Clinic Assn

  • Clinical Medical Laboratory
  • Brenham, TX
  • NPI 1760496442
  NPD tax ID
• Brenham Clinic Assn

  • Durable Medical Equipment & Medical Supplies
  • Brenham, TX
  • NPI 1760526370
  NPD tax ID
• Brenham Clinic Assn

  • Pediatrics Physician
  • Brenham, TX
  • NPI 1861500522
  NPD tax ID
• Brenham Clinic Assn

  • Durable Medical Equipment & Medical Supplies
  • Brenham, TX
  • NPI 1932115318
  NPD tax ID
• Brenham Rural Health

  • Pediatrics Physician
  • Brenham, TX
  • NPI 1053334359
  NPD tax ID

Practitioners 2

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.

• Dan F Davis, PA-C

  • Physician Assistant
  • Brenham, TX
  • NPI 1942224852
  NPD (past)
• Michael James Smith, MD

  • Obstetrics & Gynecology Physician
  • Phoenix, AZ
  • NPI 1215046743

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1780680280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTH PARK ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778332610",
            "telephone_number": "979-836-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W PALM ST",
            "address_2": "STE 106",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181300",
            "telephone_number": "979-865-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENHAM CLINIC ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SLATTERY",
        "authorized_official_first_name": "GRACIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-836-6153",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5283",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "E8650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F4241",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M3467",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H0692",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F3730",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6753",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E2546",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E8707",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J1755",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "G5655",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellville Medical Center (Mid Coast Medical Clinic Bellville)
• Bellville Medical Center (Bellville Internal and Family Medicine Clinic)
• Don R Bosse, M.D.
• Jennifer Lynn Brandes, MPT
• Brazos Family Practice, PLLC
• Brenham Clinic Association PA
• Brookshire Brothers Inc (Brookshire Brothers Pharmacy)
• Helen Torrey Burchfield, MSN, RN, FNP-BC
• C Christophe Gay MD PA
• Calvary Care Group, Inc. (Calvary Home Care)

• Internal Medicine Physician in Bellville, TX
• Providers in Bellville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.