| Brenham Family Practice And Obstetrics Pa | |
|
601 Medical Pkwy Ste D Brenham TX 77833-5429 | |
| (979) 836-2822 | |
| (979) 836-1943 |
| Full Name | Brenham Family Practice And Obstetrics Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 601 Medical Pkwy, Brenham, Texas |
| Authorized Official Name and Position | Jon F Bode (OWNER) |
| Authorized Official Contact | 9798362822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenham Family Practice And Obstetrics Pa 601 Medical Pkwy Ste D Brenham TX 77833-5429 Ph: (979) 836-2822 | Brenham Family Practice And Obstetrics Pa 601 Medical Pkwy Ste D Brenham TX 77833-5429 Ph: (979) 836-2822 |
| NPI Number | 1447248810 |
|---|---|
| Provider Enumeration Date | 10/11/2005 |
| Last Update Date | 04/20/2021 |
| Medicare PECOS PAC ID | 3577552942 |
|---|---|
| Medicare Enrollment ID | O20040511000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447248810 | NPI | - | NPPES |
| 00159U | Other | BCBS | |
| 157272902 | Other | TX | EPSDT |
| 157272901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | (* (Not Available)) | Secondary |
| Provider Name | Gregg A Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447223516 PECOS PAC ID: 1759370125 Enrollment ID: I20040511000049 |
| Provider Name | Nathan T Simons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568502896 PECOS PAC ID: 2860567542 Enrollment ID: I20090918000195 |
| Provider Name | Jon F Bode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124090725 PECOS PAC ID: 9537106901 Enrollment ID: I20100429000517 |
| Provider Name | Sean Holster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740548676 PECOS PAC ID: 8820311285 Enrollment ID: I20141216002317 |
| Provider Name | Kayla Joann Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215403076 PECOS PAC ID: 7810241247 Enrollment ID: I20181121000198 |
| Provider Name | Jamie R Schubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457985558 PECOS PAC ID: 2860821378 Enrollment ID: I20200404000418 |
| Provider Name | Hannah G Hohlt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437804556 PECOS PAC ID: 1456737055 Enrollment ID: I20221005002453 |
Brenham Rural Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Brenham State Supported Living Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway 36 S, Brenham, TX 77833 Phone: 979-836-4511 Fax: 979-277-1865 | |
Brenham Clinic Assn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Brenham Family Practice And Obstetrics Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Medical Pkwy Ste D, Brenham, TX 77833 Phone: 979-836-2822 Fax: 979-836-1943 | |
Malcolm C. Lochiel, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Medical Pkwy, Suite D, Brenham, TX 77833 Phone: 979-251-7273 Fax: 979-251-7378 | |
Brenham Clinic Assn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 |