BCS Abundant Life Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BCS ABUNDANT LIFE FAMILY PRACTICE

Practice address

2911 Texas Ave S Ste 202
College Station, TX 77845-5388

Phone

(979) 695-3570

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Russell Bryan Bacak, M.D.NPI 1184705741

Title

President

Phone

(979) 695-3570

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Bryan Bacak, M.D.

  • Family Medicine Physician
  • College Station, TX
  • NPI 1184705741
  Medicare reassignment Care Compare group NPD Authorized official
• Hope Elizabeth Odom

  • Primary Care Nurse Practitioner
  • College Station, TX
  • NPI 1609411263
  Medicare reassignment Care Compare group NPD
• Catherine Miller, PHYSICIAN ASSISTANT

  • Physician Assistant
  • College Station, TX
  • NPI 1013677442
  Medicare reassignment Care Compare group
• Christine Pinones, FNP

  • Family Nurse Practitioner
  • Hearne, TX
  • NPI 1720538242
  Medicare reassignment NPD
• Sarah Catherine Atchley, P.A.-C

  • Medical Physician Assistant
  • College Station, TX
  • NPI 1841597291
  Medicare reassignment

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1689755266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TEXAS AVE S STE 202",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455388",
            "telephone_number": "979-695-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TEXAS AVE S STE 202",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455388",
            "telephone_number": "979-695-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCS ABUNDANT LIFE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "BACAK",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-695-3570",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5445",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DB9563",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165201801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "0061LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Nain Bautista
• Marcus Allen Baxter, D.P.M.
• Baylor Scott & White Health Enterprises, Inc.
• Baylor Scott & White Health Enterprises, Inc.
• Olivia Baze, PSY.D.
• BCS Allergy & Asthma
• BCS Chiropractic
• BCS Health Shuttle LLC
• BCS Physicians Anesthesia Services
• Beacon Birth and Wellness

• Family Medicine Physician in College Station, TX
• Providers in College Station, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.