NPI age
20 years
Enumerated 2006-01-09
● Active Type 2 · Organization
The Community Hospital Of Brazosport
The Community Hospital Of Brazosport is 1 of 1218 general acute care hospital organizations in Texas.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Trautman
President
Last NPPES update
2024-03-13
Source: monthly bulk 2026-05
How this organization compares
Across 1218 active general acute care hospital providers in Texas.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
100 Medical Dr
Lake Jackson, TX 77566
Mailing address
100 Medical Dr
Lake Jackson, TX 77566
Authorized official
Robert Trautman
President
📞 9792851802
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
-
General Acute Care Hospital PrimaryAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | HH362S | BLUE CROSS SKILLED UNIT |
| 01 | 55805 | AMERICAID |
| 01 (TX) | HH0471 | BLUE CROSS |
| 01 | 6541150 | AETNA |
| 05 (TX) | 112671604 | |
| 05 (TX) | 112764902 | |
| 05 (TX) | 021787901 | |
| 05 (TX) | 112671602 |
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Brazosport Memorial Hospital &Brazosport Regional Health System
-
CHI St Luke's Health Brazosport
-
Brazosport Memorial Hospital &Brazosport Regional Health System
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.