Brazosport Health Alliance

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

BRAZOSPORT HEALTH ALLIANCE

Practice address

100 Medical Dr
Lake Jackson, TX 77566-5674

Phone

(979) 299-1210

Fax

(979) 299-1137

NPI assigned

Aug 21, 2006

Last updated

Aug 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karin L. L. Zieleck

Title

Administrator

Phone

(979) 299-1210

Specialties & licenses 1

Addresses

Other identifiers 2

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

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.

• Mohammad Afzal Khan, M.D.

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1417063702

  Hospitalist

  NPD (past)
• Brett Aaron McFadden, MD

  • Hospitalist Physician
  • McGregor, TX
  • NPI 1295721793
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1972619211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 CIRCLE WAY ST",
            "address_2": "SUITE A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665249",
            "telephone_number": "979-299-1210",
            "fax_number": "979-299-1136"
        },
        {
            "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": "775665674",
            "telephone_number": "979-299-1210",
            "fax_number": "979-299-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOSPORT HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "ZIELECK",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "L. L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-299-1210",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0064NC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1834285",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brazosport Clinical Lab
• Brazosport Dermatology Clinic PA
• Brazosport Ear, Nose & Throat Clinic, PA
• Brazosport Eye Facility, Inc. (Brazosport Eye Institute)
• 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 Regional Physician Services (Brazosport Regional Urgent Care Center)

• Hospitalist Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.