Active NPI
Brandon Lunsford, FNP-BC
- Family Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1057350
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1057350 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Family Medicine LLC | Current | 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
- brandon.lunsford@dbapma.eclinicaldirectplus.com
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.