Organization Active NPI

B-CS Family Medicine Clinic P a

  • Specialist
  • Bryan, TX
National Provider Identifier
1962401885
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E2221 Issued in TX
Legal business name
B-CS FAMILY MEDICINE CLINIC P A
Practice address
2010 E Villa Maria Rd
Suite a
Bryan, TX 77802-2540
Phone
(979) 776-7513
Fax
(979) 776-7515
NPI assigned
Jul 21, 2005
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Karim I Haji, M.D.
Title
Medical Director
Phone
(979) 776-7513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X E2221 TX Primary

Addresses

Primary practice location

2010 E Villa Maria Rd
Suite a
Bryan, TX 77802-2540

Mailing address

2010 E Villa Maria Rd
Suite a
Bryan, TX 77802-2540
Phone (979) 776-7513

Other identifiers 1

IdentifierTypeStateIssuer
081366901MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1962401885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E VILLA MARIA RD",
            "address_2": "SUITE A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022540",
            "telephone_number": "979-776-7513",
            "fax_number": "979-776-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 E VILLA MARIA RD",
            "address_2": "SUITE A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022540",
            "telephone_number": "979-776-7513",
            "fax_number": "979-776-7515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B-CS FAMILY MEDICINE CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HAJI",
        "authorized_official_first_name": "KARIM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "979-776-7513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E2221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081366901",
            "state": "TX"
        }
    ],
    "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 Jun 19, 2008; 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.