Active NPI
Brian James Bruening, M.D.
- Vascular & Interventional Radiology Physician
- Lubbock, TX
National Provider Identifier
1124020318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- H1268
- Practice address
- 3525 19TH St
Lubbock, TX 79410-1202 - Phone
- (806) 687-8346
- Fax
- (888) 856-2848
- NPI assigned
- Jun 1, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | H1268 | TX | Primary |
| Diagnostic Radiology Physician | 2085R0202X | H1268 | TX |
Addresses
Primary practice location
3525 19TH St
Lubbock, TX 79410-1202
Mailing address
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223
Other practice location 1
4005 24th St
Lubbock, TX 79410-1835
Phone (806) 792-2767
Other practice location 2
4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109364100 | Other | TX | FIRSTCARE |
| 300109582 | Other | TX | RAILROAD MEDICARE |
| 87451Y | Other | TX | BLUE CROSS |
| 136990209 | Medicaid | TX | |
| 625753 | Other | FIRST HEALTH | |
| X8325 | Medicaid | NM |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050210000963 | TX | Practitioner - Diagnostic Radiology | 0547167223 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Clinical Care in Radiology | Past | Accepting new patients |
Locations
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
TX
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1053470179
Diagnostic Radiology
-
- Physician Assistant
- Fort Worth, TX
- NPI 1578331393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1124020318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 MARSHA SHARP FWY",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794072520",
"telephone_number": "806-744-7223",
"fax_number": "806-740-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 19TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101202",
"telephone_number": "806-687-8346",
"fax_number": "888-856-2848"
}
],
"practiceLocations": [
{
"address_1": "4005 24th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794101835",
"country_code": "US",
"telephone_number": "806-792-2767",
"fax_number": "888-861-8858",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4515 Marsha Sharp Fwy",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794072520",
"country_code": "US",
"telephone_number": "806-744-7223",
"fax_number": "806-740-3325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUENING",
"first_name": "BRIAN",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "H1268",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "H1268",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "109364100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300109582",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "87451Y",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136990209",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "625753",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "X8325",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.