BRENHAM PROFESSIONAL SERVICES
NPI 1295464949
Internal Medicine in Brenham, TX

NPI Status: Active since June 08, 2022

Contact Information

700 MEDICAL PKWY
BRENHAM, TX
ZIP 77833
Phone: (979) 337-5000
Fax: (979) 830-2244

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Internal Medicine
CLIA Number: 45D2026516
CLIA Cert. Type: Other - PREGNANCY CARE CTR
CLIA Exp. Date: 06-30-2025

About BRENHAM PROFESSIONAL SERVICES

This page provides the complete NPI Profile along with additional information for Brenham Professional Services, an internist established in Brenham, Texas operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1295464949 assigned on June 2022. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Brenham Professional Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Brenham Professional Services. The authorized official of this NPI record is Jason Jennings (Ceo)

NPI: 1295464949
Provider Legal Name: SCOTT & WHITE HOSPITAL BRENHAM
Other Organization Name: BRENHAM PROFESSIONAL SERVICES
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 700 MEDICAL PKWY BRENHAM, TX 77833
Location Phone: (979) 337-5000
Location Fax: (979) 830-2244
Mailing Address: PO BOX 844658 DALLAS, TX 75284
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 06-08-2022
Last Update Date: 08-25-2023
Code Navigator

An internist like Brenham Professional Services is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine
Taxonomy Code: 207R00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	207L00000X	Allopathic & Osteopathic Physicians	Anesthesiology
2	207N00000X	Allopathic & Osteopathic Physicians	Dermatology
3	207P00000X	Allopathic & Osteopathic Physicians	Emergency Medicine
4	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine
5	207V00000X	Allopathic & Osteopathic Physicians	Obstetrics & Gynecology
6	207X00000X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery
7	207Y00000X	Allopathic & Osteopathic Physicians	Otolaryngology
8	208000000X	Allopathic & Osteopathic Physicians	Pediatrics
9	208200000X	Allopathic & Osteopathic Physicians	Plastic Surgery
10	2084P0800X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology Psychiatry
11	2085R0202X	Allopathic & Osteopathic Physicians	Radiology Diagnostic Radiology
12	208600000X	Allopathic & Osteopathic Physicians	Surgery
13	213E00000X	Podiatric Medicine & Surgery Service Providers	Podiatrist
14	367500000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Anesthetist, Certified Registered

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JASON JENNINGS
Authorized Official Title: CEO
Authorized Official Phone: (979) 207-4043

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 45D2026516
Facility Type: Other - PREGNANCY CARE CTR
Certificate Effective Date: July 01, 2023
Certificate Expiration Date: June 30, 2025
Laboratory Director: KATLYN MARBURGER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Brenham Professional Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	9	5	4	6	4	9	4	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	18	5	8	6	8	9	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 8 + 6 + 8 + 9 + 8 + 24 = 81
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 81 = 9									9

The NPI number 1295464949 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MAHMUD ALI M.D.

Anesthesiology

700 MEDICAL PKWY
BRENHAM, TX
ZIP 77833

About BRENHAM PROFESSIONAL SERVICES

Location Map

Specialty - Primary Taxonomy

Internal Medicine

Secondary Taxonomies

Anesthesiology

Dermatology

Emergency Medicine

Family Medicine

Obstetrics & Gynecology

Orthopaedic Surgery

Otolaryngology

Pediatrics

Plastic Surgery

Psychiatry & Neurology Psychiatry

Radiology Diagnostic Radiology

Surgery

Podiatrist

Nurse Anesthetist, Certified Registered

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

Authorized Official

JASON JENNINGS

CLIA Information

Reviews for BRENHAM PROFESSIONAL SERVICES

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is SCOTT & WHITE HOSPITAL BRENHAM's NPI number?

Where is the provider located?

What is the provider's specialty?

Psychiatry & Neurology
Psychiatry

Radiology
Diagnostic Radiology