Organization Active NPI

Bridgewood Bryan, LLC

  • Assisted Living Facility
  • Friendswood, TX
National Provider Identifier
1861759250
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRIDGEWOOD BRYAN, LLC
Doing business as
Carriage Inn-Bryan
Practice address
211 E Parkwood Ave Ste 100
Friendswood, TX 77546-5152
Phone
(281) 996-0101
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Mr. James D. Gray
Title
Manager
Phone
(713) 623-6767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X TX

Addresses

Primary practice location

211 E Parkwood Ave Ste 100
Friendswood, TX 77546-5152

Mailing address

4235 Boonville Rd
Bryan, TX 77802-3641
Phone (979) 731-1300

Other names 1

  • Carriage Inn-Bryan Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1861759250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 BOONVILLE RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023641",
            "telephone_number": "979-731-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E PARKWOOD AVE STE 100",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465152",
            "telephone_number": "281-996-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEWOOD BRYAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-623-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carriage Inn-Bryan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.