NPI age
19 years
Enumerated 2007-04-14
● Active Type 2 · Organization
Brazosport Radiology Pllc
Brazosport Radiology Pllc is 1 of 3776 radiology organizations in Texas.
Primary specialty
Radiology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Freedman
President
Last NPPES update
2011-06-15
Source: monthly bulk 2026-05
How this organization compares
Across 3776 active radiology providers in Texas.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
100 Medical Dr
Lake Jackson, TX 775665674
Mailing address
Po Box 1547
Sedalia, MO 653021547
Authorized official
Craig Freedman, M.D.
President
📞 9792851937
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Brett Baker, PA Physician Assistant NPI 1215956057
- Matthew Baker, ARNP Nurse Practitioner NPI 1427370972
- Ivy Bishop, PA-C Physician Assistant NPI 1427459239
- Sandra Blake, CRNA Nurse Anesthetist, Certified Registered NPI 1548456296
- Maria Brown, RD/LD Dietitian, Registered NPI 1750558912
- Sophia Brown, PA-C Physician Assistant NPI 1598420812
- David Burger, MD Emergency Medicine NPI 1780603472
- Ambar Bux, DO Internal Medicine NPI 1528687209
- Tasha Chaoman, FNP-C Nurse Practitioner NPI 1336520113
- Amish Dave, M.D. Radiology NPI 1477767127
- Jonathan Day, M.D. Radiology NPI 1083848824
- Tiffany Eckenrod, MS,RD,LD Dietitian, Registered NPI 1760615926
- Suzanne Horine, MS, RD, LD Dietitian, Registered NPI 1043409378
- Kristin Jackson, FNP Nurse Practitioner NPI 1215308143
- Tiffany Johnson, RD, LD Dietitian, Registered NPI 1245531029
- Heidi Mansy, NP Nurse Practitioner NPI 1396009015
- Megan Medina, N.P. Nurse Practitioner NPI 1699823344
- Joel Mickail Physician Assistant NPI 1164742946
- Raymond Nieto, M.D. Hospitalist NPI 1184062135
- Meredith Reed, RD, LD Dietitian, Registered NPI 1568651867
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 196064301 | |
| 01 (TX) | DO3043 | RR MEDICARE |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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