BRAZOSPORT RADIOLOGY PLLC – NPI #1497970669
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

BRAZOSPORT RADIOLOGY PLLC is a radiologist located in LAKE JACKSON, TX. NPPES has assigned the NPI number 1497970669 to BRAZOSPORT RADIOLOGY PLLC on April 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 15 years ago on Jun 15, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAZOSPORT RADIOLOGY PLLC below.

NPI Profile for
BRAZOSPORT RADIOLOGY PLLC

NPI Number
1497970669
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRAZOSPORT RADIOLOGY PLLC
Primary location
100 MEDICAL DR
LAKE JACKSON, TX 77566-5674
Phone: (979) 285-1937 Fax:
Mailing address
PO BOX 1547
SEDALIA, MO 65302-1547
Phone: (660) 826-5960 Fax:
Organization Subpart
No
Authorized Official
CRAIG FREEDMAN
PRESIDENT
Phone: (979) 285-1937
Updated
Identifiers

Identifiers for BRAZOSPORT RADIOLOGY PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICARETXDO3043
MEDICAIDTX196064301
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.