Abry Medical PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP120895 Issued in TX

Legal business name

ABRY MEDICAL PLLC

Doing business as

Grace Medical

Practice address

7655 FM 834
Hull, TX 77564

Phone

(936) 536-6057

NPI assigned

Jun 19, 2018

Last updated

Jun 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandy M Roberts, FNP-BC

Title

Owner

Phone

(936) 391-5606

Specialties & licenses 1

Addresses

Other names 1

• Grace Medical Doing business as

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.

• Adam Heath Roberts, FNP-BC

  • Family Nurse Practitioner
  • Hull, TX
  • NPI 1114204716
  NPD

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1881188332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX M",
            "city": "HULL",
            "state": "TX",
            "postal_code": "775640715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 FM 834",
            "city": "HULL",
            "state": "TX",
            "postal_code": "77564",
            "telephone_number": "936-536-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-391-5606",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Arnold
• Brittany Harvell
• Leyla Jalyn Howard, MEDICAL ASSISTANT
• Adam Heath Roberts, FNP-BC

• Family Nurse Practitioner in Hull, TX
• Providers in Hull, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.