Brazosport Regional Physician Services

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BRAZOSPORT REGIONAL PHYSICIAN SERVICES

Doing business as

Brazosport Regional Urgent Care Center

Practice address

508 This Way St
Lake Jackson, TX 77566-5128

Phone

(979) 480-9467

NPI assigned

Dec 8, 2010

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

BRAZOSPORT REGIONAL PHYSICIAN SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Daniel Buche

Title

Cheif Executive Officer

Phone

(979) 285-1105

Specialties & licenses 2

Addresses

Other names 1

• Brazosport Regional Urgent Care Center Doing business as

Part of

Brazosport Regional Physician Services

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Community Hospital of Brazosport

  dba Brazosport Memorial Hospital &Brazosport Regional Health System

  • General Acute Care Hospital
  • Lake Jackson, TX
  • NPI 1972581940

  Member Of

  NPD member

Locations

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.

• Scott L. Harris, M.D.

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1992704258
  NPD
• Roland Prezas, D.O.

  • Family Medicine Physician
  • Lake Jackson, TX
  • NPI 1326044777
  NPD

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1861795197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665674",
            "telephone_number": "979-285-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 THIS WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665128",
            "telephone_number": "979-480-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOSPORT REGIONAL PHYSICIAN SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAZOSPORT REGIONAL PHYSICIAN SERVICES",
        "enumeration_date": "2010-12-08",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BUCHE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHEIF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "979-285-1105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brazosport Regional Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brazosport Health Alliance
• Brazosport Pediatric Clinic, P.a.
• Brazosport Professional Eye Clinic Inc (Mark A Provenzano OD)
• Brazosport Psychiatric Clinic (Matthew Brams MD Alice Mao MD)
• Brazosport Radiology PLLC
• Brazosport Rehabilitation & Wellness, LLC
• Brazosport Speech Pathology Services, PLLC
• Brazosport Urology, PA
• Brazosport Womens Health PA
• Brigid Breazeale, RPH

• General Practice Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.