Organization Active NPI

Brazoria County Dialysis LLP

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Lake Jackson, TX
National Provider Identifier
1508168980
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
290279301MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLPCCN 672680
Overall star rating
3.0 of 5
Ownership
Profit
Certified
Nov 29, 2011
Medicare certification status
ActiveFrom the Provider of Services file
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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2016988Brazoria County Dialysis, LLP405 This Way Street, Lake Jackson, TX 77566Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Practitioners & 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

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.

Verify at the official NPI Registry.