Individual provider Active NPI

Brandon Lunsford, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1154085819
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1057350 Issued in TX
Practice address
1730 SW Military Dr Ste 103
San Antonio, TX 78221-1400
Phone
(214) 341-9614
NPI assigned
Oct 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1057350 TX Primary

Addresses

Primary practice location

1730 SW Military Dr Ste 103
San Antonio, TX 78221-1400

Mailing address

5935 Smoky Quartz
San Antonio, TX 78222-4133
Phone (479) 637-6539

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
I20220708000070 TX Practitioner - Nurse Practitioner 4082094065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Family Medicine LLCGroup PAC ID 8729345681, 14 clinicians

Practice addresses (Care Compare)

1730 SW Military Dr
Suite 103
San Antonio, TX 78221-1400
Phone (210) 341-9614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1057350TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Family Medicine LLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

1730 SW Military Dr
Ste 103
San Antonio, TX 78221
Phone (210) 924-3278

1200 Brooklyn Ave
Ste 220
San Antonio, TX 78212
Phone (210) 224-1971

10423 State Highway 151
Ste 103
San Antonio, TX 78251
Phone (210) 546-1470

2829 Babcock Rd
Ste 117
San Antonio, TX 78229
Phone (210) 460-9672

10423 State Highway 151
Ste 101
San Antonio, TX 78251
Phone 21034196149

Interoperability endpoints

  • Direct secure messaging: brandon.lunsford@dbapma.eclinicaldirectplus.com
  • Direct secure messaging: brandon.lunsford.1@32578.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1154085819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 SMOKY QUARTZ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782224133",
            "telephone_number": "479-637-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SW MILITARY DR STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782211400",
            "telephone_number": "214-341-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "BRANDON",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1057350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.