Active NPI
SCB Clinic, PLLC
- Clinic/Center
- Lake Jackson, TX
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
- Last updated
- Nov 21, 2022
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 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.
-
- Nurse Practitioner
- Lake Jackson, TX
- NPI 1275626913
-
- 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.