NPIMap

Organization Active NPI

Brazos Valley Community Action Agency, Inc.

  • Federally Qualified Health Center (FQHC)
  • College Station, TX
National Provider Identifier
1821185299
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
Practice address
1500 University Dr E
#100
College Station, TX 77840-2600
Phone
(979) 846-1100
Fax
(979) 260-9390
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Amanda Kirkland
Title
Director of Credentialing
Phone
(979) 596-5852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1500 University Dr E
#100
College Station, TX 77840-2600

Mailing address

1500 University Dr E
College Station, TX 77840-2600
Phone (979) 810-8148

Other practice location 1

623 W Lassater
Centerville, TX 75833-1959
Phone (903) 289-1070

Other practice location 2

712 S May St
Madisonville, TX 77864-2564
Phone (936) 348-3418

Other practice location 3

709 Barton St
Hearne, TX 77859-3009
Phone (979) 279-3451

Other practice location 4

3370 S Texas Ave
Bryan, TX 77802-3127
Phone (979) 595-1700

Other practice location 5

1615 Barak Ln
Bryan, TX 77802-3315
Phone (979) 846-2500

Other practice location 6

1602 Rock Prairie Rd Ste 300
College Station, TX 77845-8309
Phone (979) 693-7400

Other practice location 7

1500 University Dr E Ste 100
College Station, TX 77840-2600
Phone (979) 383-2340

Other practice location 8

1103 Woodson Dr
Caldwell, TX 77836-1052
Phone (979) 567-7080

Other practice location 9

808 W US Highway 79
Franklin, TX 77856-1728
Phone (979) 383-2340

Other practice location 10

1301 Memorial Dr
Bryan, TX 77802-5205
Phone (979) 731-4520

Other practice location 11

8310 Highway 6 Loop
Navasota, TX 77868-3248
Phone (936) 825-0000

Other practice location 12

315 Prospect Dr
Trinity, TX 75862-6202
Phone (936) 744-1414

Other identifiers 18

IdentifierTypeStateIssuer
1568519122OtherTXNPI L
1700973187OtherTXNPI G
187842302MedicaidTX
000951607MedicaidTX
1750470084OtherTXNPI M
1912056730OtherTXNPI PHARM
1275726853OtherTXNPI CS
187842301MedicaidTX
21721320MedicaidTX
1275620551OtherTXNPI ROBERTSON CHC
154467801MedicaidTX
154467803MedicaidTX
1649265646OtherTXNPI BCS
1407163660OtherTXROCK PRAIRIE FAMILY MEDICINE AND OBSTETRICS-NPI
185649401MedicaidTX
000951608MedicaidTX
1043527476OtherTXCOLLEGE STATION FAMILY MEDICINE CLINIC - NPI
1811171580OtherTXNPI MEDICAID GROUP OB BILLING

Other names 1

  • HealthPoint Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708001095 TX Part B Supplier - Clinic/Group Practice 4284542127 Receives reassigned benefits from 61 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Trinity, TX; Rockdale, TX; Navasota, TX; Madisonville, TX; Hempstead, TX; Hearne, TX; College Station, TX; Centerville, TX…

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory

Locations

3370 S Texas Ave
Bryan, TX 77802
Phone (979) 595-1700

1615 Barak Ln
Bryan, TX 77802
Phone (979) 268-1162

623 W Lassater
Centerville, TX 75833
Phone (903) 289-1070

1500 University Dr E
Ste 100
College Station, TX 77840
Phone (979) 383-2340

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1821185299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-810-8148",
            "fax_number": "979-260-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 UNIVERSITY DR E",
            "address_2": "#100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778402600",
            "telephone_number": "979-846-1100",
            "fax_number": "979-260-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 W Lassater",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "TX",
            "postal_code": "758331959",
            "country_code": "US",
            "telephone_number": "903-289-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "712 S May St",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "TX",
            "postal_code": "778642564",
            "country_code": "US",
            "telephone_number": "936-348-3418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "709 Barton St",
            "address_purpose": "LOCATION",
            "city": "Hearne",
            "state": "TX",
            "postal_code": "778593009",
            "country_code": "US",
            "telephone_number": "979-279-3451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3370 S Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778023127",
            "country_code": "US",
            "telephone_number": "979-595-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Barak Ln",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778023315",
            "country_code": "US",
            "telephone_number": "979-846-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1602 Rock Prairie Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778458309",
            "country_code": "US",
            "telephone_number": "979-693-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 University Dr E Ste 100",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778402600",
            "country_code": "US",
            "telephone_number": "979-383-2340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Woodson Dr",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "TX",
            "postal_code": "778361052",
            "country_code": "US",
            "telephone_number": "979-567-7080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 W US Highway 79",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TX",
            "postal_code": "778561728",
            "country_code": "US",
            "telephone_number": "979-383-2340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778025205",
            "country_code": "US",
            "telephone_number": "979-731-4520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8310 Highway 6 Loop",
            "address_purpose": "LOCATION",
            "city": "Navasota",
            "state": "TX",
            "postal_code": "778683248",
            "country_code": "US",
            "telephone_number": "936-825-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Prospect Dr",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "TX",
            "postal_code": "758626202",
            "country_code": "US",
            "telephone_number": "936-744-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "979-596-5852"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI L",
            "identifier": "1568519122",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI G",
            "identifier": "1700973187",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187842302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000951607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI M",
            "identifier": "1750470084",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PHARM",
            "identifier": "1912056730",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI CS",
            "identifier": "1275726853",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187842301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21721320",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  ROBERTSON CHC",
            "identifier": "1275620551",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154467801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154467803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BCS",
            "identifier": "1649265646",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCK PRAIRIE FAMILY MEDICINE AND OBSTETRICS-NPI",
            "identifier": "1407163660",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185649401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000951608",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLLEGE STATION FAMILY MEDICINE CLINIC - NPI",
            "identifier": "1043527476",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MEDICAID GROUP OB BILLING",
            "identifier": "1811171580",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPoint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 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.