Brazosport Pediatric and Family Clinic PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRAZOSPORT PEDIATRIC AND FAMILY CLINIC PLLC

Practice address

222 N Velasco St Ste a
Angleton, TX 77515-4576

Phone

(979) 300-0032

Fax

(979) 297-9096

NPI assigned

Jul 8, 2019

Last updated

Jan 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Deann KingNPI 1932565025

Title

Owner

Phone

(979) 300-0032

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Lauren Deann King, NP-C

  • Family Nurse Practitioner
  • Angleton, TX
  • NPI 1932565025
  Medicare reassignment NPD Authorized official
• Wanda Lanea Jones

  • Family Nurse Practitioner
  • Lake Jackson, TX
  • NPI 1740052984
  Medicare reassignment NPD

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1467014753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N VELASCO ST STE A",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154576",
            "telephone_number": "979-300-0032",
            "fax_number": "979-297-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N VELASCO ST STE A",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154576",
            "telephone_number": "979-300-0032",
            "fax_number": "979-297-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOSPORT PEDIATRIC AND FAMILY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-300-0032"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457645806",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740052984",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brazoria County Imaging Center (Angleton Open MRI)
• Brazoria County Imaging Center on Brazos, Inc. (Brazoria County Imaging Center)
• Brazoria County Obstetrics and Gynecology, PLLC
• Brazoria County Surgery Center, LLC (Brazoria County Surgery Center)
• Brazoria Sleep Experts
• Brent L. Mixon, OD, LLC
• Chelsea Lynn Brossette
• Emily Brown
• Euraka Monique Brown
• Monica A Brown, MHS, CF-SLP

• Family Medicine Physician in Angleton, TX
• Providers in Angleton, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.