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BRAZOSPORT RADIOLOGY PLLC
NPI 1497970669
Radiology - Diagnostic Radiology in Lake Jackson, TX

Active since April 14, 2007
100 MEDICAL DR, LAKE JACKSON, TX 77566(979) 285-1937 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brazosport Radiology Pllc NPPES

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

BRAZOSPORT RADIOLOGY PLLC (NPI 1497970669) is a healthcare organization registered as a diagnostic radiology in Lake Jackson, Texas and active in the NPI registry since April 2007. The organization lists Craig Freedman, President, as its authorized official.

NPPES Registry Identity

NPI1497970669
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBRAZOSPORT RADIOLOGY PLLC
Location Address100 MEDICAL DRLake Jackson, TX 77566-5674
Mailing AddressPo Box 1547Sedalia, MO 65302-1547 · (660) 826-5960
Phone(979) 285-1937
Organization SubpartNo
Authorized OfficialCraig FreedmanPresident · (979) 285-1937
Enumeration DateApril 14, 2007
Last NPPES UpdateJune 15, 2011
✔ NPI 1497970669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
100 MEDICAL DR, Lake Jackson, TX 77566
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Other Identifiers 3

OtherDO3043TX · Rr Medicare
Medicaid196064301TX
Medicare PIN00Y662TX

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 20

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

DR. ZITA MARIE WITTE M.D.
Radiology (Diagnostic Radiology)
100 MEDICAL DR, DEPT. OF RADIOLOGY
LAKE JACKSON, TX 77566
Brazoria County (979) 285-1936
MRS. SUZANNE KLENTZMAN HORINE MS, RD, LD
Dietitian, Registered
100 MEDICAL DR
LAKE JACKSON, TX 77566
Brazoria County (281) 285-1747
DR. JONATHAN MICHAEL DAY M.D.
Radiology (Diagnostic Radiology)
100 MEDICAL DR
LAKE JACKSON, TX 77566
Brazoria County (979) 297-9664
JOEL MICKAIL
Physician Assistant
100 MEDICAL DR
LAKE JACKSON, TX 77566
Brazoria County (979) 285-1984
DR. RAYMOND MICHAEL NIETO M.D.
Hospitalist
100 MEDICAL DR
LAKE JACKSON, TX 77566
Brazoria County (979) 297-4411
KRISTIN BRAVENEC JACKSON FNP
Nurse Practitioner
100 MEDICAL DR
LAKE JACKSON, TX 77566
Brazoria County (979) 285-1170
MR. BRETT SHERMAN BAKER PA
Physician Assistant
100 MEDICAL DR
LAKE JACKSON, TX 77566
Brazoria County (979) 297-4411
MISS TIFFANY NICOLE JOHNSON RD, LD
Dietitian, Registered
100 MEDICAL DR
LAKE JACKSON, TX 77566
Brazoria County (979) 285-1747

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 Radiology PLLC's NPI number?

The NPI number for Brazosport Radiology PLLC is 1497970669. It was assigned to this organization in the NPPES registry on April 14, 2007.

Where is Brazosport Radiology PLLC located?

Brazosport Radiology PLLC is located at 100 Medical Dr, Lake Jackson, TX 77566. The listed phone number is (979) 285-1937.

What is Brazosport Radiology PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Brazosport Radiology PLLC was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.