JED BROTHERS LLC
NPI 1790596682
Clinic/Center - Primary Care in Sugar Land, TX
About Jed Brothers Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JED BROTHERS LLC (NPI 1790596682), doing business as Bellfort Family Clinic, is a healthcare organization registered as a primary care in Sugar Land, Texas and active in the NPI registry since January 2025. The organization lists Vismari Vicente Cordova, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jed Brothers Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jed Brothers LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jed Brothers LLC's NPI number?
The NPI number for Jed Brothers LLC is 1790596682. It was assigned to this organization in the NPPES registry on January 18, 2025. The provider is doing business as Bellfort Family Clinic.
Where is Jed Brothers LLC located?
Jed Brothers LLC is located at 12919 W Bellfort Ave, Sugar Land, TX 77478. The listed phone number is (832) 810-7105.
What is Jed Brothers LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jed Brothers LLC enrolled in Medicare?
Yes. Jed Brothers LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jed Brothers LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Jed Brothers LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jed Brothers LLC was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jed Brothers Llc · NPI 1790596682
Primary Care organization in Sugar Land, Texas. Organization record, active in the CMS NPPES registry since January 18, 2025.
## Identity
- **NPI:** 1790596682 (Entity type: Organization)
- **Enumerated:** January 18, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** BELLFORT FAMILY CLINIC (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Vismari Vicente Cordova, OWNER
## Practice location
- **Address:** 12919 W BELLFORT AVE, Sugar Land, TX 77478-1838
- **Phone:** (832) 810-7105 · **Fax:** (832) 810-7106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790596682) · Data from the CMS NPPES public registry.