NPIMap

Organization Active NPI

Bryan Neurology Services, P.a.

  • Neurology Physician
  • College Station, TX
National Provider Identifier
1841240272
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BRYAN NEUROLOGY SERVICES, P.A.
Practice address
2100 Bent Oak St
College Station, TX 77845-5585
Phone
(979) 693-1931
NPI assigned
May 10, 2006
Last updated
Jul 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Authorized official

Name
Dr. Randall Ray Light, M.D.NPI 1366491599
Title
President
Phone
(979) 693-1931

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
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

2100 Bent Oak St
College Station, TX 77845-5585

Mailing address

PO Box 10102
College Station, TX 77842-0102
Phone (979) 693-1931

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1841240272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10102",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778420102",
            "telephone_number": "979-693-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BENT OAK ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455585",
            "telephone_number": "979-693-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN NEUROLOGY SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-693-1931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 10, 2013; 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.