Brenham Family Care, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

525996 Issued in TX

Legal business name

BRENHAM FAMILY CARE, PLLC

Practice address

605 Medical CT Ste 201
Brenham, TX 77833-5406

Phone

(979) 830-1441

Fax

(979) 830-1369

NPI assigned

Feb 12, 2007

Last updated

Jun 8, 2009By 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

Mrs. Edna M Bustos

Title

Office Administration

Phone

(979) 830-1441

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Co H Nguyen, M.D

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1780634394
  NPD (past)
• Marcus M Purvis, MD

  • Emergency Medicine Physician
  • Bryan, TX
  • NPI 1477504132
  NPD (past)
• Anna Denise Woods, RN, FNP-C

  • Family Nurse Practitioner
  • Brenham, TX
  • NPI 1710980099
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1982746673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 MEDICAL CT STE 201",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335406",
            "telephone_number": "979-830-1441",
            "fax_number": "979-830-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MEDICAL CT STE 201",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335406",
            "telephone_number": "979-830-1441",
            "fax_number": "979-830-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENHAM FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "BUSTOS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATION",
        "authorized_official_telephone_number": "979-830-1441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "525996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165150701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0062LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenham Dermatology PLLC
• Brenham Drug Partners LC (Norman's Pharmacy)
• Brenham Drug Partners LC (Norman's Pharmacy, LTC)
• Brenham Eye Associates PLLC (VIEW Brenham)
• Brenham Eye Associates, PA
• Brenham Family Dental PA
• Brenham Family Practice and Obstetrics PA
• Brenham Family Practice and Obstetrics PA
• Brenham HC Holdings LLC (High Hope Care Center of Brenham)
• Brenham Health Care LTD (Brenham Rest Home)

• Family Nurse Practitioner in Brenham, TX
• Providers in Brenham, 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 8, 2009; 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.