Individual provider Active NPI

Brandon Wells, PA-C

  • Physician Assistant
  • Lubbock, TX
National Provider Identifier
1114254620
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06483 Issued in TX
Practice address
3502 9TH St Ste 430
Lubbock, TX 79415-3368
Phone
(067) 610-5358
Fax
(806) 761-0534
NPI assigned
Nov 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06483 TX Primary

Addresses

Primary practice location

3502 9TH St Ste 430
Lubbock, TX 79415-3368

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (068) 761-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100127000515 TX Practitioner - Physician Assistant 7618019746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

3502 9TH St
Lubbock, TX 79415-3368
Phone (806) 761-0535

3601 21St St
Lubbock, TX 79410-1229
Phone (806) 791-0399

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8600

808 Joliet Ave
Unit 110
Lubbock, TX 79415-1148
Phone (806) 761-0545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Physician Assistant CurrentSince Nov 7, 2018 Accepting new patients
Jason a Ramsey Mdpa Sportszone Orthopedics PastSince Jan 4, 2026 Accepting new patients

Locations

3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000

3502 9th St
Ste 430
Lubbock, TX 79415
Phone (806) 744-1171

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1114254620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "068-761-0333",
            "fax_number": "806-782-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 9TH ST STE 430",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153368",
            "telephone_number": "067-610-5358",
            "fax_number": "806-761-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.