NPIMap

Organization Active NPI

Texas a&M University System Health Science Center

Doing business as Texas A&M University School of Nursing Mobile Clinic

  • Rural Health Clinic/Center
  • Bryan, TX
National Provider Identifier
1851918700
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
Doing business as
Texas A&M University School of Nursing Mobile Clinic
Practice address
8447 John Sharp Pkwy # Ms 1359
Bryan, TX 77807-1552
Phone
(979) 436-0587
Fax
(979) 436-0046
NPI assigned
Jun 26, 2020
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Robin Siegert Fuller
Title
Director
Phone
(979) 436-0398

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

8447 John Sharp Pkwy # Ms 1359
Bryan, TX 77807-1552

Mailing address

8441 John Sharp Pkwy
Bryan, TX 77807-3207
Phone (979) 436-0587

Other names 1

  • Texas A&M University School of Nursing Mobile Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230504001415 TX Part B Supplier - Clinic/Group Practice 6709241300 Receives reassigned benefits from 15 practitioners
Practice locations: Bryan, TX
O20231128002105 TX Part A Provider - Rural Health Clinic 6709241300 Practice locations: Bryan, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851918700. Details of each certification follow.

Rural health clinic certification: CCN 678930

Legal name
TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
Doing business as
TEXAS A & M UNIVERSITY SCHOOL OF NURSING MOBILE CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 5, 2024
Last certification
Sep 5, 2024
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
8447 Riverside Pkwy
Bryan, TX 77807-1552

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2285134Texas a&M School of Nursing Mobile Clinic8447 Riverside Parkway, Bryan, TX 77807Certificate of waiverJul 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Texas Am University System Health Science Center2 organizations share this tax ID, including this one
Part of
Texas Am University System Health Science Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8441 John Sharp Pkwy
Bryan, TX 77807
Phone (877) 637-8268

8447 John Sharp Pkwy
Bryan, TX 77807
Phone (979) 436-0200

8447 John Sharp Pkwy
#1359
Bryan, TX 77807
Phone (979) 436-0587

1359 Tamu
College Station, TX 77843

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robin Siegert Fuller Individual Corporate OfficerExecutive Director Oct 1, 2023
Corporate DirectorExecutive Director Oct 1, 2023
W-2 Managing EmployeeExecutive Director Oct 1, 2023

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1851918700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 JOHN SHARP PKWY",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778073207",
            "telephone_number": "979-436-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8447 JOHN SHARP PKWY # MS 1359",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778071552",
            "telephone_number": "979-436-0587",
            "fax_number": "979-436-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER",
        "enumeration_date": "2020-06-26",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "SIEGERT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "979-436-0398"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas A&M University School of Nursing Mobile Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.