Organization Active NPI

Ricardo Pocurull, PA

Doing business as AOCBV Arthritis & Osteoporosis Clinic of Brazos Valley

  • Rheumatology Physician
  • College Station, TX
National Provider Identifier
1861401333
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
K-2776 Issued in TX
Legal business name
RICARDO POCURULL, PA
Doing business as
AOCBV Arthritis & Osteoporosis Clinic of Brazos Valley
Practice address
1721 Birmingham Dr
Suite 204
College Station, TX 77845-4081
Phone
(979) 696-8000
Fax
(979) 696-8100
NPI assigned
Aug 5, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Ricardo Luis Pocurull, M.D, P.A.NPI 1568471159
Title
President
Phone
(979) 696-8000

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
Rheumatology Physician 207RR0500X K-2776 TX Primary

Addresses

Primary practice location

1721 Birmingham Dr
Suite 204
College Station, TX 77845-4081

Mailing address

1721 Birmingham Dr
Suite 204
College Station, TX 77845-4081
Phone (979) 696-8000

Other identifiers 4

IdentifierTypeStateIssuer
152067801MedicaidTX
165453501OtherTXMEDICAID DME
660003931OtherTXMEDICARE RAILROAD
0048QNOtherTXBCBS GROUP ID

Other names 1

  • AOCBV Arthritis & Osteoporosis Clinic of Brazos Valley Doing business as

National Provider Directory

National Provider Directory

Locations

2801 E 29th St
Ste 109
Bryan, TX 77802
Phone (979) 774-0210

1721 Birmingham Rd
Ste 204
College Station, TX 77845
Phone (979) 696-8000

Practitioners & affiliated clinicians

Practitioners 3

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1861401333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "address_2": "SUITE 204",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454081",
            "telephone_number": "979-696-8000",
            "fax_number": "979-696-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "address_2": "SUITE 204",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454081",
            "telephone_number": "979-696-8000",
            "fax_number": "979-696-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO POCURULL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "POCURULL",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-696-8000",
        "authorized_official_credential": "M.D, P.A."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "K-2776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152067801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "165453501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "660003931",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "0048QN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AOCBV Arthritis & Osteoporosis Clinic of Brazos Valley",
            "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 Jun 24, 2008; 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.