Organization Active NPI

Bedrock Healthcare Services

  • Health Service Clinic/Center
  • Richmond, TX
National Provider Identifier
1841000734
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BEDROCK HEALTHCARE SERVICES
Doing business as
Bedrock healthcare services
Practice address
17211 Astrachan Rd
Richmond, TX 77407-2701
Phone
(281) 745-1589
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Adebola Mayokun Osundahinsi, N/A
Title
Manager
Phone
(832) 860-3449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

17211 Astrachan Rd
Richmond, TX 77407-2701

Mailing address

17211 Astrachan Rd
Richmond, TX 77407-2701
Phone (281) 745-1589

Other names 1

  • Bedrock healthcare services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1841000734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17211 ASTRACHAN RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072701",
            "telephone_number": "281-745-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17211 ASTRACHAN RD",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072701",
            "telephone_number": "281-745-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "OSUNDAHINSI",
        "authorized_official_first_name": "ADEBOLA",
        "authorized_official_middle_name": "MAYOKUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-860-3449",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedrock healthcare services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.