Brazos Valley Community Action Programs

Primary specialty

Home Delivered MealsTaxonomy code 332U00000X

Legal business name

BRAZOS VALLEY COMMUNITY ACTION PROGRAMS

Practice address

203 W 30TH St
Bryan, TX 77803-6923

Phone

(979) 823-2203

Fax

(979) 775-4277

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Tom Wilkinson

Title

Administrator

Phone

(979) 595-2801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1831647155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778054128",
            "telephone_number": "979-595-2801",
            "fax_number": "979-595-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W 30TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778036923",
            "telephone_number": "979-823-2203",
            "fax_number": "979-775-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS VALLEY COMMUNITY ACTION PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-595-2801"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brazos Valley Community Action Agency Inc
• Brazos Valley Community Action Agency, Inc
• Brazos Valley Community Action Agency, Inc.
• Brazos Valley Community Action Agency, Inc.
• Brazos Valley Community Action Agency, Inc.
• Brazos Valley Council on Alcohol & Substance Abuse
• Brazos Valley Endocrinology PA
• Brazos Valley ER, LLC
• Brazos Valley Hematology Oncology Associates, PA
• Brazos Valley Hospital, LLC

• All providers in Bryan, TX
• Home Delivered Meals in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.