Blue Agave Radiology Group PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

BLUE AGAVE RADIOLOGY GROUP PLLC

Practice address

3321 Whitt Park Path
Leander, TX 78641-3975

Phone

(830) 491-4040

Fax

(830) 584-0995

NPI assigned

Jul 22, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Scott Knepper

Title

Owner

Phone

(830) 491-4040

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1033030424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 WHITT PARK PATH",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413975",
            "telephone_number": "830-491-4040",
            "fax_number": "830-584-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 WHITT PARK PATH",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786413975",
            "telephone_number": "830-491-4040",
            "fax_number": "830-584-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE AGAVE RADIOLOGY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A",
        "authorized_official_last_name": "KNEPPER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-491-4040"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Taylor Bohannan

• Diagnostic Radiology Physician in Leander, TX
• Providers in Leander, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.