Organization Active NPI

Gvsa Medical Professionals, PLLC

  • Specialist
  • Bryan, TX
National Provider Identifier
1982807699
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GVSA MEDICAL PROFESSIONALS, PLLC
Practice address
2700 E 29TH St
Suite 105
Bryan, TX 77802-2531
Phone
(979) 776-5631
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Authorized official

Name
Dr. Richard D Alford
Title
Physician and President
Phone
(979) 776-5631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2700 E 29TH St
Suite 105
Bryan, TX 77802-2531

Mailing address

2700 E 29TH St
Suite 105
Bryan, TX 77802-2531
Phone (979) 776-5631

Other identifiers 1

IdentifierTypeStateIssuer
080961801MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1982807699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST",
            "address_2": "SUITE 105",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022531",
            "telephone_number": "979-776-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 29TH ST",
            "address_2": "SUITE 105",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022531",
            "telephone_number": "979-776-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GVSA MEDICAL PROFESSIONALS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN AND PRESIDENT",
        "authorized_official_telephone_number": "979-776-5631",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080961801",
            "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 Aug 4, 2014; 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.