Brazos Valley Physicians Organization,mso-Llc
NPI 1366299539ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Bryan, TX
Pain Medicine, Interventional Pain Medicine in Bryan, Texas, registered in NPPES in May 2024. The authorized official on file is Jennifer Boyd Baldock, Officer And Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366299539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2024 |
| Last updated in NPPES | May 4, 2024 |
| Certified by provider | May 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Pain Medicine, Interventional Pain Medicine providers in Bryan
- 1831015577
- 1518353192
- 1750572681
- 1194713537
All Pain Medicine, Interventional Pain Medicine providers in Texas →