NPIMap

Organization Active NPI

MHMR Authority of Brazos Valley

  • Community/Behavioral Health Agency
  • Bryan, TX
National Provider Identifier
1912296013
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MHMR AUTHORITY OF BRAZOS VALLEY
Practice address
804 S Texas Ave
Bryan, TX 77803-3946
Phone
(979) 822-6467
Fax
(979) 821-9448
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Bill Kelly
Title
Executive Director
Phone
(979) 822-6467

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

804 S Texas Ave
Bryan, TX 77803-3946

Mailing address

PO Box 4588
Bryan, TX 77805-4588
Phone (979) 822-6467

National Provider Directory

National Provider Directory
Tax ID family
MHMR Authority of Brazos Valley5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1912296013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4588",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778054588",
            "telephone_number": "979-822-6467",
            "fax_number": "979-821-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S TEXAS AVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778033946",
            "telephone_number": "979-822-6467",
            "fax_number": "979-821-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHMR AUTHORITY OF BRAZOS VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "979-822-6467"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.