BRAZOSPORT PEDIATRIC AND FAMILY CLINIC PLLC
NPI 1467014753
Family Medicine in Angleton, TX
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
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brazosport Pediatric And Family Clinic Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Brazosport Pediatric And Family Clinic PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 45D2176446
Brazosport Pediatric And Family Clinic · Angleton, TXFrequently 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.
Is Brazosport Pediatric And Family Clinic PLLC enrolled in Medicare?
Yes. Brazosport Pediatric And Family Clinic PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brazosport Pediatric And Family Clinic PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Brazosport Pediatric And Family Clinic PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 3 other insurers 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.
# Brazosport Pediatric And Family Clinic Pllc · NPI 1467014753
Family Medicine organization in Angleton, Texas. Organization record, active in the CMS NPPES registry since July 8, 2019.
## Identity
- **NPI:** 1467014753 (Entity type: Organization)
- **Enumerated:** July 8, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Lauren King, OWNER
## Practice location
- **Address:** 222 N VELASCO ST STE A, Angleton, TX 77515-4576
- **Phone:** (979) 300-0032 · **Fax:** (979) 297-9096
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 23, 2024
- **Other identifiers:** Other 1740052984 (TX); Other 1457645806 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467014753) · Data from the CMS NPPES public registry.