BRAZOS VALLEY FOOT CARE PA (NPI# 1194280370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194280370 |
| Entity Type | Organization |
| Organization Name | BRAZOS VALLEY FOOT CARE PA |
| Practice Address |
3312 Longmire Dr College Station TX 77845-5812 |
| Practice Telephone | 9797766060 |
| Practice Fax Number | 9797766172 |
| Mailing Telephone | 9797766060 |
| Mailing Fax Number | 9797766172 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| Authorized Official Name | GINA L PARKER (BILLING MANAGER) |
| Authorized Official Telephone | 9797766060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080873501 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 637 Medical Pkwy, Brenham, TX 778335412 | 9798362992 | 9797766172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194839563 | Brazos Valley Foot Care Pa | Durable Medical Equipment & Medical Supplies | 3312 Longmire Dr, College Station, TX 77845-5812 | 2006-08-19 |
| Street Address |
3312 LONGMIRE DR |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982682720 | Eduardo Orihuela | Podiatrist | 3312 Longmire Dr, College Station, TX 77845-5812 | 2006-01-03 |
| 1013263946 | Christopher David Correa | Podiatrist | 3312 Longmire Dr, College Station, TX 77845-5812 | 2012-07-30 |
| 1376788752 | Tyler Paul Kearney | Podiatrist | 3312 Longmire Dr, College Station, TX 77845-5812 | 2008-12-12 |
| 1407960917 | Brian Todd Abbey | Podiatrist | 3312 Longmire Dr, College Station, TX 77845-5812 | 2006-08-19 |
| 1194839563 | Brazos Valley Foot Care Pa | Durable Medical Equipment & Medical Supplies | 3312 Longmire Dr, College Station, TX 77845-5812 | 2006-08-19 |
| 1932146206 | Julie Nicole Albert | Podiatrist | 3312 Longmire Dr, College Station, TX 77845-5812 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503101 | Aggieland Urgent Care Pllc | Clinic/Center | 13055 Fm 2154 Rd, College Station, TX 77845 | 2019-11-19 |
| 1770053399 | Alyssa Nicole Sanchez | Licensed Vocational Nurse | 4030 Hwy 6 S 150, College Station, TX 77845 | 2018-11-27 |
| 1154805778 | Medical Care Innovation, P.C. | Clinic/Center | 200 Quality Circle, College Station, TX 77845 | 2018-09-19 |
| 1003302530 | Kaye Lynn Tseng | Registered Nurse | 4030 Hightway 6 South, College Station, TX 77845 | 2018-07-09 |
| 1083117907 | College Station Dentistry and Orthodontics Pllc | Dentist | 11671 Fm 2154, Suite 400, College Station, TX 77845 | 2018-03-16 |
| 1912409954 | H-e-b, Lp | Clinical Medical Laboratory | 11675 Fm 2154, College Station, TX 77845 | 2018-03-06 |
| 1871095745 | Gregory Nicholas Perry | Physical Therapist | 4091 Sh 6 South, Suite B, College Station, TX 77845 | 2018-03-06 |
| 1811435639 | Michael Patke | Student in an Organized Health Care Education/Training Program | 10613 Deer Run Dr., College Station, TX 77845 | 2017-02-01 |
| 1558810473 | Sara Beth Williamson | Nurse Practitioner | 4401 State Hwy 6 S, College Station, TX 77845 | 2016-10-04 |
| 1881067379 | Kieshia Lewis | Occupational Therapy Assistant | 2700 Earl Rudder Frwy Suite 1200, College Station, TX 77845 | 2015-11-05 |
| Find all providers in zip 77845 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962823351 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 998 William D Fitch Pkwy, College Station, TX 77845-6452 | 2014-01-02 |
| 1619316445 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 717 University Dr, Suite 101, College Station, TX 77840-1477 | 2013-06-14 |
| 1699915314 | Jh Medical Distributors LLC | Durable Medical Equipment & Medical Supplies | 12633 State Highway 30, College Station, TX 77845-7736 | 2009-02-21 |
| 1750578662 | Brazos Valley Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 3900 State Highway 6 S, Ste 110, College Station, TX 77845-5831 | 2007-09-25 |
| 1083761332 | In Vision Eye Care, L.L.C. | Durable Medical Equipment & Medical Supplies | 404 University Dr E, Suite B, College Station, TX 77840-5905 | 2007-01-05 |
| 1962575480 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 3535 Longmire Dr, College Station, TX 77845-5271 | 2006-11-15 |
| 1386722684 | Physicians Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 1602 Rock Prairie Rd Ste 1200, College Station, TX 77845-0001 | 2006-11-02 |
| 1134223969 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2411 Texas Ave S, College Station, TX 77840-4633 | 2006-09-12 |
| 1497768584 | Mmci, Inc | Durable Medical Equipment & Medical Supplies | 2033 Harvey Mitchell Pkwy S, College Station, TX 77840-5102 | 2006-08-13 |
| 1033124938 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2322 Texas Ave S, College Station, TX 77840-4632 | 2006-07-29 |
| Find all providers in COLLEGE STATION | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on BRAZOS VALLEY FOOT CARE PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.