Brazos Pulmonary and Sleep Associates PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

BRAZOS PULMONARY AND SLEEP ASSOCIATES PA

Practice address

1507 W Main St
Gatesville, TX 76528-1024

Phone

(254) 248-6308

Fax

(254) 756-5601

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

David Allen Brickey, DO

Title

President

Phone

(254) 756-5600

Specialties & licenses 4

Addresses

Other identifiers 2

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1992964431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22047",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767022047",
            "telephone_number": "254-756-5600",
            "fax_number": "254-756-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-248-6308",
            "fax_number": "254-756-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS PULMONARY AND SLEEP ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "BRICKEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-756-5600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1907453-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS GROUP #",
            "identifier": "0085PX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phyllis Ann Bonat
• Cynthia Oluyemi Lakia Bonin-Omoniyi, DNP, FNP-C, APRN
• Amber Boyd, DC
• Jennifer Claire Boyd, OTR
• Cara Leigh Bradford, SLP
• Ashley Nicole Brindley, AU.D.
• Valerie Cheryl Briscoe, CCC
• Autumn Brown
• Kathleen Hardison Brown, LPC
• Duggan Burch, APRN, FNP-C

• Pulmonary Disease Physician in Gatesville, TX
• Providers in Gatesville, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.