BRAZOS PRIMARY CARE ASSOCIATES
NPI 1366812760
Clinic/Center - Primary Care in Lake Jackson, TX

Active since September 29, 2015CLIA 45D2099522 · Waiver
201 OAK DR S, SUITE 102, LAKE JACKSON, TX 77566(979) 266-9776(979) 529-2952 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brazos Primary Care Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAZOS PRIMARY CARE ASSOCIATES (NPI 1366812760) is a healthcare organization registered as a primary care in Lake Jackson, Texas and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Frank Okosun, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366812760
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBRAZOS PRIMARY CARE ASSOCIATES
Location Address201 OAK DR S, SUITE 102Lake Jackson, TX 77566-5676
Mailing Address201 Oak Dr S, Suite 102Lake Jackson, TX 77566-5676 · (979) 266-9776 · Fax (979) 529-2952
Fax(979) 529-2952
Organization SubpartNo
Authorized OfficialFrank OkosunMedical Director · (979) 266-9776
Enumeration DateSeptember 29, 2015
✔ NPI 1366812760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in TX · P7174
201 OAK DR S, Lake Jackson, TX 77566

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brazos Primary Care Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brazos Primary Care Associates, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emergency Medicine
NPI 1093027807
188 ABNER JACKSON PKWY
Lake Jackson, TX 77566
(979) 266-9776
✔ PECOS✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2099522

Brazos Primary Care Associates · Lake Jackson, TX
Active · expires Jul 27, 2027
CLIA Number45D2099522
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorFrank E. Okosun
Laboratory Phone(214) 886-3901
Laboratory LocationBrazos Primary Care Associates188 Abner Jackson Parkway, Lake Jackson, TX 77566
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brazos Primary Care Associates's NPI number?

The NPI number for Brazos Primary Care Associates is 1366812760. It was assigned to this organization in the NPPES registry on September 29, 2015.

Where is Brazos Primary Care Associates located?

Brazos Primary Care Associates is located at 201 Oak Dr S Suite 102, Lake Jackson, TX 77566. The listed phone number is (979) 266-9776.

What is Brazos Primary Care Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Brazos Primary Care Associates enrolled in Medicare?

Yes. Brazos Primary Care Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brazos Primary Care Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Brazos Primary Care Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Brazos Primary Care Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2099522) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brazos Primary Care Associates was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.