Active NPI
Brandon Da'Juan Lucas, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Cavazos, TX
National Provider Identifier
1104602689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1129211
- Practice address
- 590 Medical Center Road
Fort Cavazos, TX 76544 - Phone
- (817) 505-5878
- NPI assigned
- Aug 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1129211 | TX | Primary |
Addresses
Primary practice location
590 Medical Center Road
Fort Cavazos, TX 76544
Mailing address
590 Medical Center Road
Fort Cavazos, TX 76544
Phone (817) 505-5878
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1129211 | TX | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746748800000",
"number": "1104602689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER ROAD",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "817-505-5878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 MEDICAL CENTER ROAD",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "817-505-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "BRANDON",
"middle_name": "DA'JUAN",
"name_prefix": "Dr.",
"credential": "DNP, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-31",
"last_updated": "2025-05-09",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1129211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.