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BRENHAM RURAL HEALTH NPI 1053334359


NPI Information

NPI: 1053334359
Provider Name: BRENHAM RURAL HEALTH
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
600 NORTH PARK ST
BRENHAM, TX
ZIP 77833
Phone: (979) 836-6153
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BRENHAM RURAL HEALTH is a pediatrics in Brenham, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BRENHAM RURAL HEALTH NPI is 1053334359. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 NORTH PARK ST
BRENHAM, TX
ZIP 77833-610
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 7/26/2006 and was last updated on 10/19/2009.


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 MedicineF4241TEXASNo
4207R00000XInternal MedicineM 8802TEXASNo
5207V00000XObstetrics & GynecologyH0692TEXASNo
6207V00000XObstetrics & GynecologyM4810TEXASNo
7208000000XPediatricsF3730TEXASNo
8208000000XPediatricsK6753TEXASNo
9208000000XPediatricsN1685TEXASNo
10208000000XPediatricsE2546TEXASYes

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
1107604401MEDICAIDTEXAS
2453828MEDICARE ID-TYPE UNSPECIFIEDTEXAS

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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