Brandon Wood, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

330782 Issued in TX

Practice address

1201 W Frank Ave FL 5
Lufkin, TX 75904-3357

Phone

(936) 899-7350

NPI assigned

May 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1104483171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WOODHUE CT",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759044318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE FL 5",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-899-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "330782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "BWoodLVN",
            "affiliation": "N",
            "address_1": "1201 W Frank Ave Fl 5",
            "city": "Lufkin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759043357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Willis, Halter and Associates (Diagnostic Associates of Lukfin)
• Jaren Scott Wilson, RBT
• Robert Russell Alexander Wilson, MD
• Kristin Wimbush
• Kayleen Wingo, BCBA
• Zalleya Woods
• Wright Diabetes Education LLC
• Amy Nicholson Wright, RDN, LD, CDE
• Sonja Wyatt
• Kinny Xavier, DDS

• Licensed Vocational Nurse in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.