BRYAN COLLEGE STATION PROSTHETICS INC (NPI# 1770844664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770844664 |
| Entity Type | Organization |
| Organization Name | BRYAN COLLEGE STATION PROSTHETICS INC |
| Practice Address |
1602 Rock Prairie Rd Suite 150 College Station TX 77845-8306 |
| Practice Telephone | 9796968300 |
| Practice Fax Number | 9796968328 |
| Mailing Telephone | 9796968300 |
| Mailing Fax Number | 9796968328 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-28 |
| Authorized Official Name | MR. RONALD GENE NELSON (PRESIDENT) |
| Authorized Official Telephone | 2817310537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 101411 | TX | Suppliers |
| Street Address |
1602 ROCK PRAIRIE RD SUITE 150 |
| City | COLLEGE STATION |
| State | TX |
| Zip Code | 77845-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136938 | Randy Wallace Smith | Obstetrics & Gynecology | 1602 Rock Prairie Rd, #430, College Station, TX 77845-8306 | 2005-07-07 |
| 1104392505 | Elizabeth Jane Riley | Nurse Practitioner | 1602 Rock Prairie Rd, College Station, TX 77845-8306 | 2018-10-23 |
| 1871029322 | Katie Hepfer | Nurse Practitioner | 1602 Rock Prairie Rd, Suite 300, College Station, TX 77845-8306 | 2017-05-03 |
| 1508226234 | A.shanmugam M.d | Internal Medicine | 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845-8306 | 2016-02-23 |
| 1851735849 | Caitlin Sears | Physician Assistant | 1602 Rock Prairie Rd, Suite 3400, College Station, TX 77845-8306 | 2013-04-22 |
| 1396084380 | Bcs Allergy & Asthma | Allergy & Immunology | 1602 Rock Prairie Rd, Ste 270, College Station, TX 77845-8306 | 2013-02-11 |
| 1407163660 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #230, College Station, TX 77845-8308 | 2010-09-09 |
| 1043527476 | Brazos Valley Community Action Agency, Inc | Clinic/Center | 1602 Rock Prairie Rd, #1100, College Station, TX 77845-8306 | 2010-09-07 |
| 1598090599 | Iyabode Ogunlade, Md Pa | Specialist | 1602 Rock Prairie Rd, Ste 3000, College Station, TX 77845-8306 | 2009-10-08 |
| 1093948887 | University Pediatric Childrens Foundation | Pediatrics | 1602 Rock Prairie Rd, Suite 310, College Station, TX 77845-8306 | 2009-08-27 |
| Find all providers in the same location | ||||
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280370 | Brazos Valley Foot Care Pa | Prosthetic/Orthotic Supplier | 3312 Longmire Dr, College Station, TX 77845-5812 | 2019-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627997 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 S. Clear Creek, Suite 110, Killeen, TX 76549-6685 | 2020-10-22 |
| 1962001123 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 Clear Creek Rd Apt 110, Killeen, TX 76549-6685 | 2020-10-20 |
| 1871191643 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2020 W State Highway 114 Ste 360, Grapevine, TX 76051-8649 | 2020-10-14 |
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1184230815 | Lindas Signature Hair Studio Inc | Prosthetic/Orthotic Supplier | 9415 Broadway St Ste 201, Pearland, TX 77584-8094 | 2020-09-18 |
| 1538773106 | Memorial Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 439 Mason Park Blvd Ste A1, Katy, TX 77450-4163 | 2020-09-01 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396355061 | Ameristep Prosthetics San Antonio | Prosthetic/Orthotic Supplier | 7271 Wurzbach Rd Ste 187, San Antonio, TX 78240-3800 | 2020-08-06 |
| 1043820327 | Ameristep Prosthetics Southwestern | Prosthetic/Orthotic Supplier | 5406 Harry Hines Blvd, Dallas, TX 75235-7211 | 2020-08-03 |
| 1083230502 | Amazing Wig Closet | Prosthetic/Orthotic Supplier | 409 W Front St Ste 100-306, Hutto, TX 78634-4204 | 2020-06-20 |
| Find all providers with the same taxonomy | ||||
| City | COLLEGE STATION |
| Zip Code | 77845 |
Please comment or provide details below to improve the information on BRYAN COLLEGE STATION PROSTHETICS INC.
| 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.