NPIMap

Organization Active NPI

The Community Hospital of Brazosport

Doing business as Brazosport Memorial Hospital &Brazosport Regional Health System

  • General Acute Care Hospital
  • Lake Jackson, TX
National Provider Identifier
1972581940
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
000436 Issued in TX
Legal business name
THE COMMUNITY HOSPITAL OF BRAZOSPORT
Doing business as
Brazosport Memorial Hospital &Brazosport Regional Health System
CHI St Luke's Health Brazosport
Practice address
100 Medical Dr
Lake Jackson, TX 77566
Phone
(979) 297-4411
Fax
(979) 285-1730
NPI assigned
Jan 9, 2006
Last updated
Mar 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Mr. Robert Trautman
Title
President
Phone
(979) 285-1802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 000436 TX Primary

Addresses

Primary practice location

100 Medical Dr
Lake Jackson, TX 77566

Mailing address

100 Medical Dr
Lake Jackson, TX 77566
Phone (979) 297-4411

Other names 2

  • Brazosport Memorial Hospital &Brazosport Regional Health System Doing business as
  • CHI St Luke's Health Brazosport Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060919000191 TX Part A Provider - Hospital 5395707970 Practice locations: Lake Jackson, TX
O20061206000511 TX Part A Provider - Hospital 5395707970 Practice locations: Lake Jackson, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1972581940. Details of each certification follow.

Hospital certification: CCN 450072

Legal name
THE COMMUNITY HOSPITAL OF BRAZOSPORT
Doing business as
CHI ST LUKE'S HEALTH BRAZOSPORT
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 13, 2025
Beds
165
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 13, 1961 in TX
Enrollment address
100 Medical Dr
Lake Jackson, TX 77566-5674
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Hospital certification: CCN 45T072

Legal name
THE COMMUNITY HOSPITAL OF BRAZOSPORT
Doing business as
CHI ST. LUKE'S HEALTH BRAZOSPORT
Organization structure
CorporationNon-profit
Enrollment address
100 Medical Dr
Lake Jackson, TX 77566-5674
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation unit

Care Compare: Hospital

Medicare Care Compare
Listed as
CHI St Luke's Health BrazosportCCN 450072 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Brazosport Memorial HospitalCCN 45T072 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1996

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0497104CHI St Luke's Health Brazosport Lab100 Medical Drive, Lake Jackson, TX 77566AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Doug Lawson Individual Corporate OfficerHealth System Ceo Jul 1, 2021
Corporate DirectorHealth System Ceo Jul 1, 2021
Michael Steines Individual Corporate DirectorBoard Member Mar 26, 2024
Gary Whitlock Individual Corporate DirectorBoard Member Jul 1, 2021
St. Lukes Health System Corporation Organization, Houston, TX Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jun 1, 2016 100%
5% Or Greater Indirect Ownership Interest Feb 1, 2016 100%
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 1, 2016 100%
5% Or Greater Indirect Ownership Interest Feb 1, 2018 100%
Robert Upchurch Individual Corporate DirectorBoard Member Jul 1, 2021
Frank Ashley Individual Corporate DirectorBoard Member Jul 1, 2021
Brooks Bass Individual Corporate DirectorBoard Member Jul 1, 2021
Brad Beers Individual Corporate DirectorBoard Member Jul 1, 2021
Robert Trautman Individual Corporate OfficerPresident Aug 9, 2021 100%
Jacob Simpson Individual W-2 Managing Employee Jan 1, 2017
Jason Casey Individual Corporate OfficerCfo Mar 30, 2023
Operational/Managerial ControlCfo Mar 30, 2023
Jane Ainsworth Individual Corporate DirectorBoard Member Jul 1, 2021
Indira S Anupindi Individual Corporate DirectorBoard Member Jul 1, 2021
Demetress L Harrell Individual Corporate DirectorBoard Member Jul 1, 2021
St Lukes Health Clinical Operations Organization, Houston, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2019 100%
Operational/Managerial Control Feb 1, 2019 100%
5% Or Greater Direct Ownership Interest Feb 1, 2016 100%
Operational/Managerial Control Feb 1, 2016 100%
Stephan Laroye Lillie Individual Corporate OfficerHouston Market Cfo May 12, 2026
Operational/Managerial ControlHouston Market Cfo May 12, 2026
Matthew Brown Individual Corporate OfficerPresident Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2025
Terika Richardson Mbanu Individual Corporate DirectorBoard Member Jul 1, 2025
Donald D Hearne Individual Corporate OfficerSecretary Jul 1, 2025
Michael Lawson Individual Corporate DirectorBoard Member Jul 1, 2025
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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.

Affiliated clinicians 158

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 158

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1972581940",
    "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": "77566",
            "telephone_number": "979-297-4411",
            "fax_number": "979-285-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-297-4411",
            "fax_number": "979-285-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY HOSPITAL OF BRAZOSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "TRAUTMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-285-1802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "000436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brazosport Memorial Hospital &Brazosport Regional Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brazosport Memorial Hospital &Brazosport Regional Health System",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI St Luke's Health Brazosport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.