BRAZOSPORT PEDIATRIC AND FAMILY CLINIC PLLC
NPI 1467014753
Family Medicine in Angleton, TX

Active since July 08, 2019CLIA 45D2176446 · Waiver
222 N VELASCO ST STE A, ANGLETON, TX 77515(979) 300-0032(979) 297-9096 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2020, Nov 18, 2019, Jul 14, 2019 (3 updates tracked since 2019).

About Brazosport Pediatric And Family Clinic Pllc NPPES

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

BRAZOSPORT PEDIATRIC AND FAMILY CLINIC PLLC (NPI 1467014753) is a healthcare organization registered as a family medicine in Angleton, Texas and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Lauren Deann King, Owner, as its authorized official.

NPPES Registry Identity

NPI1467014753
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRAZOSPORT PEDIATRIC AND FAMILY CLINIC PLLC
Location Address222 N VELASCO ST STE AAngleton, TX 77515-4576
Mailing Address222 N Velasco St Ste AAngleton, TX 77515-4576 · (979) 300-0032 · Fax (979) 297-9096
Fax(979) 297-9096
Organization SubpartNo
Authorized OfficialLauren Deann KingOwner · (979) 300-0032
Enumeration DateJuly 8, 2019
Last NPPES UpdateJanuary 23, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
NPI 1467014753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
222 N VELASCO ST STE A, Angleton, TX 77515

Other Identifiers 2

Other1740052984TX · Npi
Other1457645806TX · Npi

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 45D2176446

Brazosport Pediatric And Family Clinic · Angleton, TX
Active · expires Dec 15, 2027
CLIA Number45D2176446
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorLauren D. King
Laboratory Phone(979) 300-0032
Laboratory LocationBrazosport Pediatric And Family Clinic222 N Velasco, Suite A, Angleton, TX 77515
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

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

Nurse Practitioner (Family)
222 N VELASCO ST STE A
ANGLETON, TX 77515

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 And Family Clinic PLLC's NPI number?

The NPI number for Brazosport Pediatric And Family Clinic PLLC is 1467014753. It was assigned to this organization in the NPPES registry on July 8, 2019.

Where is Brazosport Pediatric And Family Clinic PLLC located?

Brazosport Pediatric And Family Clinic PLLC is located at 222 N Velasco St Ste A, Angleton, TX 77515. The listed phone number is (979) 300-0032.

What is Brazosport Pediatric And Family Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Brazosport Pediatric And Family Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2176446) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brazosport Pediatric And Family Clinic PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Brazosport Pediatric And Family Clinic PLLC 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 Pediatric And Family Clinic PLLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.