NPIMap

Organization Active NPI

Blue Agave Functional Medicine Bulverde PLLC

Doing business as Blue Agave Functional Medicine Clinic

  • General Practice Physician
  • Spring Branch, TX
National Provider Identifier
1215888573
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BLUE AGAVE FUNCTIONAL MEDICINE BULVERDE PLLC
Doing business as
Blue Agave Functional Medicine Clinic
Practice address
20475 Highway 46 W Ste 350
Spring Branch, TX 78070-6147
Phone
(830) 491-4040
Fax
(833) 468-5420
NPI assigned
Feb 4, 2026
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Dr. Scott Patrick Knepper, KNEPPER
Title
Manager
Phone
(512) 293-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

20475 Highway 46 W Ste 350
Spring Branch, TX 78070-6147

Mailing address

20475 Highway 46 W Ste 350
Spring Branch, TX 78070-6147
Phone (830) 491-4040

Other names 1

  • Blue Agave Functional Medicine Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

20475 Highway 46 W
Ste 350
Spring Branch, TX 78070
Phone (512) 293-9800

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1215888573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20475 HIGHWAY 46 W STE 350",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706147",
            "telephone_number": "830-491-4040",
            "fax_number": "833-468-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20475 HIGHWAY 46 W STE 350",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706147",
            "telephone_number": "830-491-4040",
            "fax_number": "833-468-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE AGAVE FUNCTIONAL MEDICINE BULVERDE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "KNEPPER",
        "authorized_official_first_name": "SCOTT PATRICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-293-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "KNEPPER"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Agave Functional Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.