NPIMap

Organization Active NPI

Scott & White Hospital Brenham

Doing business as Baylor Scott & White Medical Center - Brenham

  • Critical Access Hospital
  • Brenham, TX
National Provider Identifier
1154315307
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
SCOTT & WHITE HOSPITAL BRENHAM
Doing business as
Baylor Scott & White Medical Center - Brenham
Practice address
700 Medical Pkwy
Brenham, TX 77833-5413
Phone
(979) 337-5000
NPI assigned
Sep 2, 2005
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Jason D Jennings
Title
Ceo
Phone
(979) 207-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

700 Medical Pkwy
Brenham, TX 77833-5413

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 2

IdentifierTypeStateIssuer
1352262-03OtherTXMEDICAID ASC
1352262-11MedicaidTX

Other names 1

  • Baylor Scott & White Medical Center - Brenham Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210706001333 TX Part A Provider - Critical Access Hospital 5799719787 Receives reassigned benefits from 94 practitioners
Practice locations: Brenham, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154315307. Details of each certification follow.

Hospital certification: CCN 451397

Legal name
SCOTT & WHITE HOSPITAL BRENHAM
Doing business as
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM
Certification status
Terminated Other: provider status change, Jun 30, 2025
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 21, 2022
Last certification
Apr 24, 2025
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Feb 28, 1989 in TX
Enrollment address
700 Medical Pkwy
Brenham, TX 77833-5413
Main/Primary Hospital Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

5000 W Slaughter Ln
Ste 100
Austin, TX 78749
Phone (512) 282-2273

2117 S Day St
Brenham, TX 77833
Phone (979) 830-5247

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Scott & White Healthcare Organization, Temple, TX Corporation, Non-profit Operational/Managerial Control Jul 1, 2010
Matt Bentke Individual Corporate DirectorBoard Member Jul 1, 2025
Wendy Ragonis Anderson Individual Corporate DirectorBoard Member Jul 1, 2025
Baylor Scott & White Health Organization, Temple, TX Corporation, Non-profit, Chain home office Operational/Managerial Control Mar 1, 2014
Candice Bullock Individual Corporate DirectorBoard Member Jul 1, 2025
Tieman III Dippel Individual Corporate DirectorBoard Member Jul 1, 2025
Jim Kruse Individual Corporate DirectorBoard Member Jul 1, 2025
Noe B Gutierrez Individual W-2 Managing EmployeeCfo/VP Finance Feb 28, 2022
Jason David Jennings Individual W-2 Managing EmployeeCeo President Feb 25, 2013
Seth J Sullivan Individual Corporate DirectorBoard Member Jul 1, 2025
Shirley Herring Individual Corporate DirectorBoard Member Jul 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 36

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 36

Practitioners & affiliated clinicians

Practitioners 105

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 105

Affiliated clinicians 174

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 174

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1154315307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL PKWY",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335413",
            "telephone_number": "979-337-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT & WHITE HOSPITAL BRENHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-207-4043"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID ASC",
            "identifier": "1352262-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1352262-11",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Scott & White Medical Center - Brenham",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baylor Scott & White Medical Center - Brenham",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brenham, TX

Sources for this page

Verify at the official NPI Registry.