BRAZOS PULMONARY & SLEEP ASSOCIATES PA (NPI# 1093915126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093915126 |
Entity Type | Organization |
Organization Name | BRAZOS PULMONARY & SLEEP ASSOCIATES PA |
Practice Address |
2911 Herring Ave Suite 212 Waco TX 76708-3245 |
Mailing Address |
Po Box 22047 Waco TX 76702-2047 |
Practice Telephone | 2547565600 |
Practice Fax Number | 2547565601 |
Mailing Telephone | 2547565600 |
Mailing Fax Number | 2547565601 |
Enumeration Date | 2007-07-18 |
Last Update Date | 2009-03-06 |
Authorized Official Name | DR. DAVID A BRICKEY (OWNER/PRESIDENT) |
Authorized Official Telephone | 2547565600 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS GROUP # | 0085PX | 01 |
TX | 1907453-01 | 05 |
Street Address |
2911 HERRING AVE SUITE 212 |
City | WACO |
State | TX |
Zip Code | 76708-3245 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356329858 | Stephen Herbert Corwin | Urology | 2911 Herring Ave, Suite 310, Waco, TX 76708-3245 | 2006-01-04 |
1144499914 | Alice Joann Ogden | Nurse Practitioner | 2911 Herring Ave, Suite 306, Waco, TX 76708-3245 | 2008-02-26 |
1669654497 | Hing-sheung Eugene Fung Md Pa | Internal Medicine | 2911 Herring Ave, Suite 306, Waco, TX 76708-3245 | 2007-12-04 |
1043424930 | Elizabeth Ann Flynn | Nurse Practitioner | 2911 Herring Ave, Suite 306, Waco, TX 76708-3245 | 2007-05-09 |
1326135369 | Scott & White Memorial Hospital | Home Health | 2911 Herring Ave, Ste 310, Waco, TX 76708-3245 | 2006-10-10 |
1669566584 | Scott & White Memorial Hospital | Hospice Care, Community Based | 2911 Herring Ave, Ste 310, Waco, TX 76708 | 2006-10-03 |
1073624292 | Hing-sheung Eugene Fung | Internal Medicine | 2911 Herring Ave, Suite 306, Waco, TX 76708-3245 | 2006-08-31 |
1053427674 | Lawrence C Canning | Internal Medicine | 2911 Herring Ave, Ste 209, Waco, TX 76708-3245 | 2006-08-23 |
1902824659 | Waco Hematology Oncology Associates Pa | Internal Medicine | 2911 Herring Ave, Ste 209, Waco, TX 76708-3245 | 2006-07-18 |
1639157126 | Robert Francis Corwin | Urology | 2911 Herring Ave, Suite 310, Waco, TX 76708-3245 | 2006-01-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144868613 | Sarah Bogacz | Behavior Technician | 6824 Logue Lane, Bluesprig Pediatrics, Waco, TX 76708 | 2019-12-16 |
1700358215 | Albert Jacob Puente | Specialist/Technologist | 1101 North Q Ave, Clifton, TX 76708 | 2018-12-21 |
1437414810 | Cenikor Foundation | Substance Abuse Rehabilitation Facility | 3015 Herring Avenue, Waco, TX 76708 | 2012-07-11 |
1922393610 | Betty Hendricks | Nurse Practitioner | 4601 N 19th Street, Waco, TX 76708 | 2011-06-10 |
1023239498 | Esc Iv, Lp | Assisted Living Facility | 3801 Martin Luther King Jr Bvd, Waco, TX 76708 | 2007-05-01 |
1952429367 | Dod David Moore | Dentist | 10104 Saddle Creek Rd, Waco, TX 76708 | 2007-03-26 |
1851400295 | H-e-b, Lp | Clinical Medical Laboratory | 3801 N 19th St, Waco, TX 76708 | 2006-08-30 |
1972527257 | Meryl Burchardt | Nurse Practitioner | 2201 Macarthur, Suite 2200, Waco, TX 76708 | 2006-07-27 |
1669493292 | Central Texas Anesthesiology Associates Inc | Anesthesiology | 3000 Herring, Waco, TX 76708 | 2006-07-21 |
1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
Find all providers in zip 76708 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750362398 | Rodney Charles Richie | Internal Medicine | 7003 Woodway Dr, Suite 311, Waco, TX 76712-6170 | 2005-11-10 |
1154616589 | Robert William Stewart | Internal Medicine | 120 Hillcrest Medical Blvd Ste 3053, Waco, TX 76712-8948 | 2011-06-14 |
1285700823 | Waco Lung Associates Pa | Internal Medicine | 7125 New Sanger Rd, Suite B, Waco, TX 76712 | 2006-11-27 |
1376576769 | Mark Stuart Klepper | Internal Medicine | 318 Richland West Cir, Suite A, Waco, TX 76712-7919 | 2006-07-08 |
1437130077 | Maydee Annette Rosario-reglero | Internal Medicine | 7003 Woodway Dr, Suite 311, Waco, TX 76712-6170 | 2005-11-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104431907 | Texas Lung Care Associates Pllc | Internal Medicine | 115 Wendover Ct, Southlake, TX 76092-8589 | 2020-09-09 |
1437782430 | Evette Karlene Robinson | Internal Medicine | 1904 Pine St Ste 4c, Abilene, TX 79601-2450 | 2020-02-18 |
1154964526 | Sridhar Badireddi Md Pa | Internal Medicine | 3500 Gaston Ave # Floors34, Dallas, TX 75246-2017 | 2019-10-17 |
1740830702 | Jamal Adel Turki | Internal Medicine | 20510 Walnut Canyon Dr, Katy, TX 77450-5427 | 2019-09-12 |
1245885342 | Manica Isiguzo, Md Pa | Internal Medicine | 34910 Interstate 10 W Ste 601, Boerne, TX 78006-9230 | 2019-08-06 |
1497243943 | Howard M Mintz Md Pllc | Internal Medicine | 10501 N Central Expy Ste 101, Dallas, TX 75231-2203 | 2018-04-30 |
1417457938 | Lung Specialist Associates of Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 455, Sherman, TX 75092-7391 | 2018-02-21 |
1265943104 | Greater Houston Lung and Sleep Center Pllc | Internal Medicine | 6550 Fannin St Ste 2321, Houston, TX 77030-2723 | 2017-10-18 |
1164961405 | Texas Pulmonology Inc | Internal Medicine | 19315 Country Village Dr, Spring, TX 77388-3080 | 2017-02-20 |
1013382753 | Internal & Pulmonary Granbury | Internal Medicine | 2214 E Us Highway 377, Ste B, Granbury, TX 76049-6010 | 2015-12-07 |
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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.