BCS ABUNDANT LIFE FAMILY PRACTICE
NPI 1689755266
Family Medicine in College Station, TX
About Bcs Abundant Life Family Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BCS ABUNDANT LIFE FAMILY PRACTICE (NPI 1689755266) is a healthcare organization registered as a family medicine in College Station, Texas and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through March 1, 2028 and lists Russell Bryan Bacak, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bcs Abundant Life Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Bcs Abundant Life Family Practice, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 for Provider-Performed Microscopy Procedures (PPMP) 45D0680377
Bcs Abundant Life Family Practice PA · College Station, 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 Bcs Abundant Life Family Practice's NPI number?
The NPI number for Bcs Abundant Life Family Practice is 1689755266. It was assigned to this organization in the NPPES registry on October 18, 2006.
Where is Bcs Abundant Life Family Practice located?
Bcs Abundant Life Family Practice is located at 2911 Texas Ave S Ste 202, College Station, TX 77845. The listed phone number is (979) 695-3570.
What is Bcs Abundant Life Family Practice's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bcs Abundant Life Family Practice enrolled in Medicare?
Yes. Bcs Abundant Life Family Practice is registered in the Medicare PECOS enrollment system.
When is Bcs Abundant Life Family Practice's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bcs Abundant Life Family Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bcs Abundant Life Family Practice, in Family Practice and Nurse Practitioner. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bcs Abundant Life Family Practice hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0680377) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bcs Abundant Life Family Practice was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Bcs Abundant Life Family Practice · NPI 1689755266
Family Medicine organization in College Station, Texas. Organization record, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1689755266 (Entity type: Organization)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Russell Bacak, PRESIDENT
## Practice location
- **Address:** 2911 TEXAS AVE S STE 202, College Station, TX 77845-5388
- **Phone:** (979) 695-3570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2026
- **Other identifiers:** Other DB9563 (TX); Medicaid 165201801 (TX); Other 0061LC (TX)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1689755266) · Data from the CMS NPPES public registry.