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BRENHAM CLINIC ASSOCIATION PA NPI 1619081106


NPI Information

NPI: 1619081106
Provider Name: BRENHAM CLINIC ASSOCIATION PA
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
235 WEST PALM
STE 106
BELLVILLE, TX
ZIP 77418
Phone: (979) 836-6153
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BRENHAM CLINIC ASSOCIATION PA is an internal medicine in Bellville, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BRENHAM CLINIC ASSOCIATION PA NPI is 1619081106. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

235 WEST PALM
STE 106
BELLVILLE, TX
ZIP 77418-372
Phone: (979) 836-6153

The provider's authorized official is Gracie Slattery .
The authorized official title is Administrator and has the following contact phone number (979) 836-6153.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 12/11/2009.


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
1207Q00000XFamily MedicineG5283TEXASNo
2207R00000XInternal MedicineE8650TEXASNo
3207R00000XInternal MedicineM8802TEXASNo
4207V00000XObstetrics & GynecologyH0692TEXASNo
5207V00000XObstetrics & GynecologyM4810TEXASNo
6208000000XPediatricsF3730TEXASNo
7208000000XPediatricsK6753TEXASNo
8208000000XPediatricsE2546TEXASNo
9208000000XPediatricsN1685TEXASNo
10207R00000XInternal MedicineF4241TEXASYes

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
1673862MEDICARE ID-TYPE UNSPECIFIEDTEXASRURAL HEALTH
2137248411MEDICAIDTEXAS

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: 5/5/2024

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