Active NPI
SCB Clinic, PLLC
- Clinic/Center
- Lake Jackson, TX
National Provider Identifier
1558465286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 574974
- Legal business name
- SCB CLINIC, PLLC
- Practice address
- 120 Flag Lake Dr Ste 2
Lake Jackson, TX 77566 - Phone
- (979) 297-8800
- Fax
- (979) 297-0300
- NPI assigned
- Sep 12, 2006
- 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
- Mrs. Stephani Curtis Bradley, RN FNP-C
- Title
- Provider
- Phone
- (979) 297-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 574974 | TX | Primary |
Addresses
Primary practice location
120 Flag Lake Dr Ste 2
Lake Jackson, TX 77566
Mailing address
120 Flag Lake Dr Ste 2
Lake Jackson, TX 77566-6292
Phone (979) 297-8800
National Provider Directory
National Provider DirectoryLocations
207A That Way St
Lake Jackson, TX 77566
Phone 97927978800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Lake Jackson, TX
- NPI 1366534521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1668988800000",
"number": "1558465286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 FLAG LAKE DR STE 2",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775666292",
"telephone_number": "979-297-8800",
"fax_number": "979-297-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 FLAG LAKE DR STE 2",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "77566",
"telephone_number": "979-297-8800",
"fax_number": "979-297-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCB CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "STEPHANI",
"authorized_official_middle_name": "CURTIS",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "979-297-8800",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN FNP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TX",
"license": "574974",
"primary": true
}
],
"identifiers": [],
"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 Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.