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BOTTENFIELD PEDIATRIC ASSOCIATES, PLLC
NPI 1710540513
Pediatrics in Lake Jackson, TX

Active since April 17, 2019CLIA Certified · 2 labs
210 LAKE RD BLDG 600, LAKE JACKSON, TX 77566(979) 297-7337(707) 549-5792 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2019, Apr 17, 2019 (2 updates tracked since 2019).

About Bottenfield Pediatric Associates, Pllc NPPES

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

BOTTENFIELD PEDIATRIC ASSOCIATES, PLLC (NPI 1710540513) is a healthcare organization registered as a pediatrics in Lake Jackson, Texas and active in the NPI registry since April 2019. The organization holds 2 active CLIA laboratory certificates and lists Gerald Bottenfield, Owner, as its authorized official.

NPPES Registry Identity

NPI1710540513
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBOTTENFIELD PEDIATRIC ASSOCIATES, PLLC
Location Address210 LAKE RD BLDG 600Lake Jackson, TX 77566-4982
Mailing Address210 Lake Rd Ste 600Lake Jackson, TX 77566-4982 · (979) 297-7337 · Fax (979) 266-9076
Phone(979) 297-7337
Fax(707) 549-5792
Organization SubpartNo
Authorized OfficialGerald BottenfieldOwner · (979) 297-7337
Enumeration DateApril 17, 2019
Last NPPES UpdateAugust 2, 20232 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1710540513 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.
210 LAKE RD BLDG 600, Lake Jackson, TX 77566
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 45D2173531

Bottenfield Pediatric Associates · Lake Jackson, TX
Active · expires Oct 14, 2027
CLIA Number45D2173531
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorGerald W. Bottenfield
Laboratory Phone(979) 297-7337
Laboratory LocationBottenfield Pediatric Associates210 Lake Road Suite 600, Lake Jackson, TX 77566
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2173530

Bottenfield Pediatric Associates · Lake Jackson, TX
Active · expires Oct 14, 2027
CLIA Number45D2173530
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorGerald Bottenfield
Laboratory Phone(979) 297-7337
Laboratory LocationBottenfield Pediatric Associates207 That Way A-1, Lake Jackson, TX 77566
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bottenfield Pediatric Associates, PLLC's NPI number?

The NPI number for Bottenfield Pediatric Associates, PLLC is 1710540513. It was assigned to this organization in the NPPES registry on April 17, 2019.

Where is Bottenfield Pediatric Associates, PLLC located?

Bottenfield Pediatric Associates, PLLC is located at 210 Lake Rd Bldg 600, Lake Jackson, TX 77566. The listed phone number is (979) 297-7337.

What is Bottenfield Pediatric Associates, PLLC's specialty?

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

Does Bottenfield Pediatric Associates, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Bottenfield Pediatric Associates, 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 2 other insurers list Bottenfield Pediatric Associates, 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 Bottenfield Pediatric Associates, PLLC was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.