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BRAZOSPORT WOMENS HEALTH PA
NPI 1407163116
Obstetrics & Gynecology - Gynecology in Lake Jackson, TX

Active since September 02, 2010CLIA 45D2079361 · Waiver
506 THIS WAY ST, LAKE JACKSON, TX 77566(979) 266-9544(979) 529-9737 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brazosport Womens Health Pa NPPES

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

BRAZOSPORT WOMENS HEALTH PA (NPI 1407163116) is a healthcare organization registered as a gynecology in Lake Jackson, Texas and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through June 15, 2028 and lists Samatha Kadiyala, Physician - Owner, as its authorized official.

NPPES Registry Identity

NPI1407163116
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameBRAZOSPORT WOMENS HEALTH PA
Location Address506 THIS WAY STLake Jackson, TX 77566-5128
Mailing Address215 Oak Drive South, Suite BLake Jackson, TX 77566-5617 · (979) 266-9544 · Fax (979) 529-9737
Phone(979) 266-9544
Fax(979) 529-9737
Organization SubpartNo
Authorized OfficialSamatha KadiyalaPhysician - Owner · (979) 266-9544
Enumeration DateSeptember 2, 2010
Last NPPES UpdateJune 6, 2016
✔ NPI 1407163116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in TX · N4502
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
506 THIS WAY ST, Lake Jackson, TX 77566
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

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 45D2079361

Brazosport Womens Health PA · Lake Jackson, TX
Active · expires Jun 15, 2028
CLIA Number45D2079361
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorSamatha K. Kadiyala
Laboratory Phone(979) 266-9544
Laboratory LocationBrazosport Womens Health PA208 Oak Drive South Suite 300, Lake Jackson, TX 77566
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SAMATHA KRISHNA KADIYALA M.D.
Obstetrics & Gynecology
506 THIS WAY ST
LAKE JACKSON, TX 77566
Brazoria County (979) 266-9544
FOOT DOCTORS OF TEXAS LLC
Podiatrist
506 THIS WAY ST
LAKE JACKSON, TX 77566
Brazoria County (979) 297-7798

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 Brazosport Womens Health PA's NPI number?

The NPI number for Brazosport Womens Health PA is 1407163116. It was assigned to this organization in the NPPES registry on September 2, 2010.

Where is Brazosport Womens Health PA located?

Brazosport Womens Health PA is located at 506 This Way St, Lake Jackson, TX 77566. The listed phone number is (979) 266-9544.

What is Brazosport Womens Health PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Brazosport Womens Health PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2079361) is associated with this NPI, valid through June 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brazosport Womens Health PA accept?

Health plans from WellPoint list Brazosport Womens Health PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brazosport Womens Health PA was last updated on June 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.