NPIMap

Organization Active NPI

Brazos Valley Pathology, PLLC

Doing business as ReitPath Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Austin, TX
National Provider Identifier
1629094651
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
BRAZOS VALLEY PATHOLOGY, PLLC
Doing business as
ReitPath Pathology
Practice address
3445 Executive Center Dr Ste 250
Austin, TX 78731-1678
Phone
(512) 579-4000
Fax
(512) 439-2814
NPI assigned
Jul 14, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Lucy Garcia
Title
Director of Operations
Phone
(512) 579-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

3445 Executive Center Dr Ste 250
Austin, TX 78731-1678

Mailing address

PO Box 28763
Austin, TX 78755-8763
Phone (512) 579-4000

Other practice location 1

St. Joseph Health System
2801 Franciscan Dr
Bryan, TX 77802
Phone (979) 776-3777

Other identifiers 1

IdentifierTypeStateIssuer
080810704MedicaidTX

Other names 2

  • ReitPath Pathology Doing business as
  • BVP Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040503001695 TX Part B Supplier - Clinic/Group Practice 8426046061 Receives reassigned benefits from 7 practitioners
Practice locations: Bastrop, TX; Winnsboro, TX; Tyler, TX; Round Rock, TX; Rockdale, TX; Kyle, TX; Jacksonville, TX; Harker Heights, TX…

National Provider Directory

National Provider Directory

Locations

3445 Executive Center Dr
Ste 201
Austin, TX 78731

3445 Executive Center Dr
Ste 212
Austin, TX 78731

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1629094651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28763",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787558763",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 EXECUTIVE CENTER DR STE 250",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311678",
            "telephone_number": "512-579-4000",
            "fax_number": "512-439-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "St. Joseph Health System",
            "address_2": "2801 Franciscan Dr",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "77802",
            "country_code": "US",
            "telephone_number": "979-776-3777",
            "fax_number": "979-776-2406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAZOS VALLEY PATHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "512-579-4000"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080810704",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReitPath Pathology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BVP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "BVP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.