Televyde, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

R29053 Issued in TX

Legal business name

TELEVYDE, LLC

Practice address

3201 University Dr E Ste 325
Bryan, TX 77802-3478

Phone

(979) 774-4563

Fax

(979) 774-4546

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jackie Greenwood

Title

Ceo

Phone

(979) 774-4563

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian John Risinger, MD

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
  • NPI 1053376780
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1871507657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 325",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023478",
            "telephone_number": "979-774-4563",
            "fax_number": "979-774-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 325",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023478",
            "telephone_number": "979-774-4563",
            "fax_number": "979-774-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEVYDE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-774-4563",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TX",
            "license": "R29053",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161716901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamari Keion Taylor
• Tbsi Therapies, LLC
• Tcbryan1 LLC
• TCH Pediatric Associates, Inc
• Jennifer Tejada Oller, MD
• Terry M Jones, MD, PA
• Matt Terwillegar, O.D.
• Texas a&M University System Health Science Center
• Texas a&M University System Health Science Center
• Texas a&M University System Health Science Center

• Magnetic Resonance Imaging (MRI) Clinic/Center in Bryan, TX
• Providers in Bryan, TX by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.