1. Home
  2. Directory
  3. Texas
  4. Lake Jackson
  5. Pediatrics
  6. NPI Profile

BRAZOSPORT PEDIATRIC CLINIC, P.A.
NPI 1407860737
Pediatrics in Lake Jackson, TX

Active since July 29, 2006
54 FLAG LAKE PLZ, LAKE JACKSON, TX 77566(979) 297-5066(979) 297-9096 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Brazosport Pediatric Clinic, P.a. NPPES

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

BRAZOSPORT PEDIATRIC CLINIC, P.A. (NPI 1407860737) is a healthcare organization registered as a pediatrics in Lake Jackson, Texas and active in the NPI registry since July 2006. The organization lists Richard A Hardoin, President, as its authorized official.

NPPES Registry Identity

NPI1407860737
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBRAZOSPORT PEDIATRIC CLINIC, P.A.
Location Address54 FLAG LAKE PLZLake Jackson, TX 77566-6263
Mailing Address54 Flag Lake PlzLake Jackson, TX 77566-6263 · (979) 297-5066 · Fax (979) 297-9096
Phone(979) 297-5066
Fax(979) 297-9096
Organization SubpartNo
Authorized OfficialRichard A HardoinPresident · (979) 297-5066
Enumeration DateJuly 29, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1407860737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
54 FLAG LAKE PLZ, Lake Jackson, TX 77566
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 3

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

BRAZOSPORT CLINICAL LAB
Clinical Medical Laboratory
54 FLAG LAKE PLZ
LAKE JACKSON, TX 77566
Brazoria County (979) 297-0362
HEATHER DAWN RICKAWAY PA
Physician Assistant (Medical)
54 FLAG LAKE PLZ
LAKE JACKSON, TX 77566
Brazoria County (979) 297-0362
MRS. KASEY ATNIP P.A.-C
Physician Assistant
54 FLAG LAKE PLZ
LAKE JACKSON, TX 77566
Brazoria County (979) 297-0362

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 Pediatric Clinic, P.A.'s NPI number?

The NPI number for Brazosport Pediatric Clinic, P.A. is 1407860737. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Brazosport Pediatric Clinic, P.A. located?

Brazosport Pediatric Clinic, P.A. is located at 54 Flag Lake Plz, Lake Jackson, TX 77566. The listed phone number is (979) 297-5066.

What is Brazosport Pediatric Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Brazosport Pediatric Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.