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BRYAN FAMILY MEDICINE CLINIC, PA
NPI 1235193483
Family Medicine in Bryan, TX

Active since April 14, 2006
2709 OSLER BLVD, BRYAN, TX 77802(979) 776-2200 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bryan Family Medicine Clinic, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN FAMILY MEDICINE CLINIC, PA (NPI 1235193483) is a healthcare organization registered as a family medicine in Bryan, Texas and active in the NPI registry since April 2006. The organization lists Shailesh Dhaduk, President, as its authorized official.

NPPES Registry Identity

NPI1235193483
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRYAN FAMILY MEDICINE CLINIC, PA
Location Address2709 OSLER BLVDBryan, TX 77802-2518
Mailing Address2709 Osler BlvdBryan, TX 77802-2518 · (979) 776-2200
Phone(979) 776-2200
Organization SubpartNo
Authorized OfficialShailesh DhadukPresident · (979) 776-2200
Enumeration DateApril 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235193483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2709 OSLER BLVD, Bryan, TX 77802
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Other Identifiers 1

Other0068MYTX · Bcbs Of Texas

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Family Medicine Clinic, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20051006000155Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bryan Family Medicine Clinic, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shailesh Dhaduk, M.D.
Family Practice
NPI 1326047259
2709 OSLER BLVD
Bryan, TX 77802
(979) 776-2200
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Family Medicine Clinic, PA's NPI number?

The NPI number for Bryan Family Medicine Clinic, PA is 1235193483. It was assigned to this organization in the NPPES registry on April 14, 2006.

Where is Bryan Family Medicine Clinic, PA located?

Bryan Family Medicine Clinic, PA is located at 2709 Osler Blvd, Bryan, TX 77802. The listed phone number is (979) 776-2200.

What is Bryan Family Medicine Clinic, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bryan Family Medicine Clinic, PA enrolled in Medicare?

Yes. Bryan Family Medicine Clinic, PA is registered in the Medicare PECOS enrollment system.

When is Bryan Family Medicine Clinic, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bryan Family Medicine Clinic, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bryan Family Medicine Clinic, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bryan Family Medicine Clinic, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.