Garrett D Blundell (NPI# 1891044012, PAC ID# 1153564505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1891044012 |
| PAC ID by PECOS | 1153564505 |
| Professional Enrollment ID | I20130904000182 |
| Full Name | Garrett D Blundell |
| Organization Legal Name | BRAZOS VALLEY ORAL AND MAXILLOFACIAL SURGERY, INC. |
| Address |
1505 Emerald Plaza College Station TX 77845-1501 |
| Phone Number | 9797647101 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS, HOUSTON DENTAL BRANCH |
| Graduation Year | 2007 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | ORAL SURGERY |
| Group Practice PAC ID | 9638221658 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450011 | CHI ST JOSEPH HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1505 Emerald Plaza, College Station, TX 77845-1501 | 9797647101 | BRAZOS VALLEY ORAL AND MAXILLOFACIAL SURGERY, INC. |
| Organization Legal Name | BRAZOS VALLEY ORAL AND MAXILLOFACIAL SURGERY, INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles C. Hanley | Maxillofacial Surgery | Brazos Valley Oral and Maxillofacial Surgery, Inc. | 1505 Emerald Plaza, College Station, TX 77845-1501 |
| James Bryan Garrett | Maxillofacial Surgery | Brazos Valley Oral and Maxillofacial Surgery, Inc. | 1505 Emerald Plaza, College Station, TX 77845-1501 |
| Brandon C Clyburn | Maxillofacial Surgery | Brazos Valley Oral and Maxillofacial Surgery, Inc. | 1505 Emerald Plaza, College Station, TX 77845-1501 |
| James C Garrett | Maxillofacial Surgery | Brazos Valley Oral and Maxillofacial Surgery, Inc. | 1505 Emerald Plaza, College Station, TX 77845-1501 |
| Street Address |
1505 EMERALD PLAZA |
| City | COLLEGE STATION |
| State | TX |
| Zip | 77845-1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles C. Hanley | Maxillofacial Surgery | Brazos Valley Oral and Maxillofacial Surgery, Inc. | 1505 Emerald Plaza, College Station, TX 77845-1501 |
| James Bryan Garrett | Maxillofacial Surgery | Brazos Valley Oral and Maxillofacial Surgery, Inc. | 1505 Emerald Plaza, College Station, TX 77845-1501 |
| Brandon C Clyburn | Maxillofacial Surgery | Brazos Valley Oral and Maxillofacial Surgery, Inc. | 1505 Emerald Plaza, College Station, TX 77845-1501 |
| James C Garrett | Maxillofacial Surgery | Brazos Valley Oral and Maxillofacial Surgery, Inc. | 1505 Emerald Plaza, College Station, TX 77845-1501 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John W Williams | General Surgery | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, Suite 1100, College Station, TX 77845-0001 |
| Joseph J Roman | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Conde N Anderson | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sidney C. Ontai | General Practice | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Arun K Jain | Internal Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jill Linsey Holcomb | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Sandra Md Nweke | Family Medicine | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Catherine Manga | Nurse Practitioner | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Jasvinder S Sidhu | Cardiovascular Disease (cardiology) | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Aderemi Jaiyeola | Gastroenterology | Regional Employee Assistance Program Inc | 1602 Rock Prairie Rd, College Station, TX 77845-0001 |
| Find all physicians in zip 77845 | |||
| City | COLLEGE STATION |
| Zip Code | 77845 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | COLLEGE STATION + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Garrett D Blundell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.