Individual provider Active NPI

Brianne Russell Delgado, MTBC

  • Music Therapist
  • Willis, TX
National Provider Identifier
1093609042
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
License
16874
Practice address
15030 Sorrento Bay CT
Willis, TX 77318-2100
Phone
(409) 679-7742
NPI assigned
Jun 4, 2025
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Music Therapist 225A00000X 16874 Primary

Addresses

Primary practice location

15030 Sorrento Bay CT
Willis, TX 77318-2100

Mailing address

15030 Sorrento Bay CT
Willis, TX 77318-2100
Phone (409) 679-7742

Other names 1

  • Brianne Elizabeth Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1093609042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 SORRENTO BAY CT",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773182100",
            "telephone_number": "409-679-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15030 SORRENTO BAY CT",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773182100",
            "telephone_number": "409-679-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "BRIANNE",
        "middle_name": "RUSSELL",
        "name_prefix": "Mrs.",
        "credential": "MTBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "16874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNE",
            "last_name": "RUSSELL",
            "middle_name": "ELIZABETH",
            "credential": "MTBC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Willis, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.