Organization Active NPI

Oaks Medical Center PLLC

  • General Practice Physician
  • Bryan, TX
National Provider Identifier
1790669000
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OAKS MEDICAL CENTER PLLC
Practice address
1313 Briarcrest Dr Ste a
Bryan, TX 77802-5241
Phone
(979) 776-2828
NPI assigned
Aug 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Dr. Alicia StephensonNPI 1992070759
Title
Executive Director
Phone
(979) 776-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1313 Briarcrest Dr Ste a
Bryan, TX 77802-5241

Mailing address

1313 Briarcrest Dr Ste a
Bryan, TX 77802-5241
Phone (979) 776-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260226003850 TX Part B Supplier - Clinic/Group Practice 3577044510 Receives reassigned benefits from 1 practitioner
Practice locations: Bryan, TX

National Provider Directory

National Provider Directory

Locations

1313 Briarcrest Dr
Ste A
Bryan, TX 77802
Phone (979) 776-2828

1313 Briarcrest Dr
Bryan, TX 77802
Phone (979) 776-2828

Practitioners & affiliated clinicians

Practitioners 3

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": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1790669000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BRIARCREST DR STE A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025241",
            "telephone_number": "979-776-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BRIARCREST DR STE A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025241",
            "telephone_number": "979-776-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKS MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "979-776-2828",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.