OrganizationActive
Brazosport Urology, PA
NPI 1417177270 · Urology Physician · Lake Jackson, TX
Brazosport Urology, PA is a Urology Physician organization in Lake Jackson, TX (NPI 1417177270).
Provider details
- NPI number
- 1417177270
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derrick Berger, Practice Manager(979) 297-4140
- License
- M5052 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 Abner Jackson Pkwy
Suite C
Lake Jackson, TX 77566-5157
Phone: (979) 297-4140
Fax: (979) 297-4919
Street-level locationGet directions
Mailing address
115 Abner Jackson Pkwy
Lake Jackson, TX 77566-5157
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2008-06-23
Frequently asked questions
- What is Brazosport Urology, PA's NPI number?
- Brazosport Urology, PA's National Provider Identifier (NPI) is 1417177270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brazosport Urology, PA?
- Brazosport Urology, PA is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Brazosport Urology, PA located?
- Brazosport Urology, PA's practice location on file with NPPES is 115 Abner Jackson Pkwy, Lake Jackson, TX 77566-5157.
- What is Brazosport Urology, PA's phone number?
- The practice phone number listed in the NPPES registry for Brazosport Urology, PA is (979) 297-4140.
- Who is the authorized official for Brazosport Urology, PA?
- The authorized official listed on Brazosport Urology, PA's NPPES record is Derrick Berger, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brazosport Urology, PA's NPI active?
- Yes — Brazosport Urology, PA's NPI (1417177270) is active in the NPPES registry as of the last update on 2008-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.