BRAZOS DIALYSIS CENTER LLC – NPI #1699975805
Clinic/Center

BRAZOS DIALYSIS CENTER LLC is an AHC clinic located in ROSENBERG, TX. NPPES has assigned the NPI number 1699975805 to BRAZOS DIALYSIS CENTER LLC on July 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 17 years ago on Aug 20, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAZOS DIALYSIS CENTER LLC below.

NPI Profile for
BRAZOS DIALYSIS CENTER LLC

NPI Number
1699975805
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRAZOS DIALYSIS CENTER LLC
Primary location
1730 B.F. TERRY BOULEVARD
ROSENBERG, TX 77471
Phone: (832) 595-0003 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARION WILSON
ADMINISTRATOR
Phone: (281) 240-5095
Updated
Identifiers

Identifiers for BRAZOS DIALYSIS CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PART ATX672602
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.