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ST. JOSEPH REGIONAL HEALTH CENTER NPI 1669557179


NPI Information

NPI: 1669557179
Provider Name: ST. JOSEPH REGIONAL HEALTH CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2801 FRANCISCAN DR
BRYAN, TX
ZIP 77802
Phone: (979) 776-2426
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ST. JOSEPH REGIONAL HEALTH CENTER is a family medicine in Bryan, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. JOSEPH REGIONAL HEALTH CENTER NPI is 1669557179. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2801 FRANCISCAN DR
BRYAN, TX
ZIP 77802-544
Phone: (979) 776-2426
Fax: (979) 776-5948

The provider's authorized official is Theron Park .
The authorized official title is Market President and has the following contact phone number (979) 776-2599.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 12/28/2021.


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
1207LP2900XAnesthesiologyPain MedicineNo
2207Q00000XFamily MedicineYes
3207R00000XInternal MedicineNo
4207T00000XNeurological SurgeryNo
5207X00000XOrthopaedic SurgeryNo
6207Y00000XOtolaryngologyNo
7208000000XPediatricsNo
8208800000XUrologyNo
9208M00000XHospitalistNo
10231H00000XAudiologistNo
11363A00000XPhysician AssistantNo
12363AM0700XPhysician AssistantMedicalNo
13363L00000XNurse PractitionerNo
14363LA2100XNurse PractitionerAcute CareNo
15363LF0000XNurse PractitionerFamilyNo

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
1081951801MEDICAIDTEXAS
2081951802MEDICAIDTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.