Active NPI
Brazos Vascular Access Center, PLLC
- Nephrology Physician
- Bryan, TX
National Provider Identifier
1982955175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- BRAZOS VASCULAR ACCESS CENTER, PLLC
- Practice address
- 1673 Briarcrest Dr
Ste 100B
Bryan, TX 77802-2737 - Phone
- (210) 616-9990
- Fax
- (210) 298-9416
- NPI assigned
- Sep 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emmanuel Anekwe, MD
- Title
- President/Owner
- Phone
- (210) 616-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1673 Briarcrest Dr
Ste 100B
Bryan, TX 77802-2737
Mailing address
PO Box 29364
San Antonio, TX 78229-0364
Phone (210) 616-9990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 117880805 | Medicaid | TX | |
| 201307003 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1673 Briarcrest Dr
Ste 100B
Bryan, TX 77802
Phone (210) 616-9990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348704000000",
"number": "1982955175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29364",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782290364",
"telephone_number": "210-616-9990",
"fax_number": "210-298-9416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1673 BRIARCREST DR",
"address_2": "STE 100B",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022737",
"telephone_number": "210-616-9990",
"fax_number": "210-298-9416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAZOS VASCULAR ACCESS CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-27",
"last_updated": "2012-09-27",
"status": "A",
"authorized_official_last_name": "ANEKWE",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "210-616-9990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117880805",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201307003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
- Brazos Valley Physicians Organization,Mso-LLC
- Brazos Valley Psychological Services PA
- Brazos Valley Rehabilitation Center Inc
- Brazos Valley Smile Restorations
- Brazos Valley Urology Associates
- Emily Ann Brewer, PHD, LP, LSSP
- Kira Brewington
- Brian Barras, DDS, Ms, PLLC
- Brigando Counseling
- Audrey Flores Brigando, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.