Active NPI
Brazoria County Dialysis LLP
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake Jackson, TX
National Provider Identifier
1508168980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- BRAZORIA COUNTY DIALYSIS LLP
- Practice address
- 405 This Way St
Lake Jackson, TX 77566-5140 - Phone
- (979) 297-3777
- Fax
- (979) 297-3778
- NPI assigned
- Nov 17, 2010
- Last updated
- May 19, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Anne Brady
- Title
- Chief Nursing Officer
- Phone
- (208) 371-7878
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | NU | Primary |
Addresses
Primary practice location
405 This Way St
Lake Jackson, TX 77566-5140
Mailing address
405 This Way St
Lake Jackson, TX 77566-5140
Phone (979) 297-3777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290279301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101213000406 | TX | Part A Provider - End-Stage Renal Disease Facility (ESRD) | 9931396298 | Practice locations: Lake Jackson, TX |
Care Compare: Dialysis facility
Medicare Care Compare- Listed as
- Brazoria County Dialysis, LLP
- Overall star rating
- Ownership
- Profit
- Certified
- Nov 29, 2011
- Medicare certification status
- Active
- Chain
- American Renal Associates
- Dialysis stations
- 15
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2016988 | Brazoria County Dialysis, LLP | Certificate of waiver | Nov 30, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779148800000",
"number": "1508168980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 THIS WAY ST",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665140",
"telephone_number": "979-297-3777",
"fax_number": "979-297-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 THIS WAY ST",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665140",
"telephone_number": "979-297-3777",
"fax_number": "979-297-3778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAZORIA COUNTY DIALYSIS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-17",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A",
"authorized_official_last_name": "BRADY",
"authorized_official_first_name": "SARA",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CHIEF NURSING OFFICER",
"authorized_official_telephone_number": "208-371-7878"
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "290279301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
- Gerald W Bottenfield, M.D.
- Paul Frederick Boven, DDS
- Lucretia Sheree' Boyd, FNP
- Staci Schneider Braden, D.C.
- Stephani Curtis Bradley, FNP
- Brazoria County Work Activity Center
- Brazoria Kidney Center, Inc. (Brazoria Kidney Center)
- Brazoria Neurological Associates, P.a.
- Brazos Eye Care LLC
- Brazos Primary Care Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.