NPIMap

Organization Active NPI

Brazos Oral & Maxillofacial Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Katy, TX
National Provider Identifier
1942685276
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
23859 Issued in TX
Legal business name
BRAZOS ORAL & MAXILLOFACIAL SURGERY, PLLC
Practice address
10605 Spring Green Blvd
Suite 200
Katy, TX 77494-4048
Phone
(281) 394-2933
Fax
(281) 715-4440
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Dr. James Willis Pledger II, DDSNPI 1265599864
Title
Member/Owner/Oral Surgeon
Phone
(281) 394-2933

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 23859 TX Primary

Addresses

Primary practice location

10605 Spring Green Blvd
Suite 200
Katy, TX 77494-4048

Mailing address

10605 Spring Green Blvd
Suite 200
Katy, TX 77494-4048
Phone (281) 394-2933

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1942685276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 SPRING GREEN BLVD",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944048",
            "telephone_number": "281-394-2933",
            "fax_number": "281-715-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 SPRING GREEN BLVD",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944048",
            "telephone_number": "281-394-2933",
            "fax_number": "281-715-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS ORAL & MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "PLEDGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIS",
        "authorized_official_title_or_position": "MEMBER/OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "281-394-2933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "23859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.