PAUL V BONARRIGO (NPI# 1437228830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437228830 |
| Entity Type | Organization |
| Organization Name | PAUL V BONARRIGO |
| Other Organization Name | SPORTS AND BACK CLINIC |
| Practice Address |
2011a E Villa Maria Rd Bryan TX 77802-2541 |
| Mailing Address |
2011-a E Villa Maria Bryan TX 77802 |
| Practice Telephone | 9797762225 |
| Practice Fax Number | 9797767945 |
| Mailing Telephone | 9797762225 |
| Mailing Fax Number | 9797767945 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | MR. PAUL V BONARRIGO (OWNER) |
| Authorized Official Telephone | 9797762225 |
| Authorized Official Credential | LPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1005635 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS | 0092QS | 01 |
| Other Name | Type Code |
|---|---|
| Sports and Back Clinic | Doing Business As Name - Organization |
| Street Address |
2011A E VILLA MARIA RD |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992827802 | Gary Alan Johnson | Specialist | 1716 Briarcrest Dr, Ste 800, Bryan, TX 77802-2763 | 2007-04-04 |
| 1780729723 | Toledo Rehab Group | Specialist | 1607 W High St, Bryan, OH 43506-1598 | 2007-02-20 |
| 1396895264 | Beverley Bj Shaver | Specialist | 314 N Union St, Bryan, OH 43506-1452 | 2007-01-11 |
| 1093874570 | James V Stonecipher Md Pa | Specialist | 3841 Sagebriar Dr, Bryan, TX 77802-6107 | 2006-12-08 |
| 1881760205 | Paul V Bonarrigo | Specialist | 2011 E Villa Maria Rd # A, Bryan, TX 77802-2541 | 2006-11-28 |
| 1548370588 | Michael W Steines | Specialist | 2700 E 29th St Ste 105, Bryan, TX 77802-2507 | 2006-08-30 |
| 1093727828 | Sandra Yasskin | Specialist | 302 E 24th St, Bryan, TX 77803-5303 | 2006-08-12 |
| 1407881881 | Michael E Jones | Specialist | 1121 Briarcrest Dr, Ste 303, Bryan, TX 77802-2505 | 2006-07-12 |
| 1497716179 | James V Stonecipher | Specialist | 3841 Sagebriar Drive, Bryan, TX 77802-6107 | 2006-03-31 |
| 1558350181 | Joe P Bramhall | Specialist | 3121 University Dr E Ste 100, Bryan, TX 77802-3499 | 2005-10-17 |
| Find all providers in BRYAN | ||||
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| 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.