BRAZOS RADIATION ONCOLOGY P.A. NPI 1568435774

NPI Information

  • NPI: 1568435774
  • Provider Name: BRAZOS RADIATION ONCOLOGY, P.A.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 2215 E VILLA MARIA RD
    SUITE 130
    BRYAN, TX
    ZIP 77802
  • Phone: (979) 774-0808

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NPI Details

BRAZOS RADIATION ONCOLOGY, P.A. is a radiation oncology radiology in Bryan, TX. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. BRAZOS RADIATION ONCOLOGY, P.A. NPI is 1568435774. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2215 E VILLA MARIA RD
SUITE 130
BRYAN, TX
ZIP 77802-548
Phone: (979) 774-0808
Fax: (979) 776-3028

The provider's authorized official is Alvin Lee Schlichtemeier .
The authorized official title is President and has the following contact phone number (979) 774-0808.

The enumeration date for this NPI number is 2/8/2006 and was last updated on 11/6/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
181701701MEDICAIDTEXAS
200B44SMEDICARE ID-TYPE UNSPECIFIEDTEXASGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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