Individual provider Active NPI

Bryan Harris, M.D.

  • Dermatology Physician
  • Lubbock, TX
National Provider Identifier
1174553556
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
K7297 Issued in TX
Practice address
6102 82ND St Ste 15
Lubbock, TX 79424-0802
Phone
(806) 749-7933
Fax
(806) 749-6117
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X K7297 TX Primary

Addresses

Primary practice location

6102 82ND St Ste 15
Lubbock, TX 79424-0802

Mailing address

6102 82ND St Ste 15
Lubbock, TX 79424-0802
Phone (806) 749-7933

Other practice location 1

3715 21st St
Lubbock, TX 79410-1219
Phone (806) 795-0610

Other identifiers 1

IdentifierTypeStateIssuer
046853001MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000919 TX Practitioner - Dermatology 5395870323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Long and Harris Dermatology PLLCGroup PAC ID 9436424660, 3 clinicians

Practice addresses (Care Compare)

6102 82ND St
Suite 15
Lubbock, TX 79424-0840
Phone (806) 749-7933

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision119
Removal of skin lesions476
Skin biopsy330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Long & Harris Dermatology PLLC Dermatology CurrentSince Dec 1, 2017 Accepting new patients

Locations

6102 82nd St
Ste 15
Lubbock, TX 79424
Phone (806) 749-7933

Interoperability endpoints

  • Direct secure messaging: bharris@longharris.curemd.direct-ci.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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1174553556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 82ND ST STE 15",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240802",
            "telephone_number": "806-749-7933",
            "fax_number": "806-749-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 82ND ST STE 15",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240802",
            "telephone_number": "806-749-7933",
            "fax_number": "806-749-6117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3715 21st St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101219",
            "country_code": "US",
            "telephone_number": "806-795-0610",
            "fax_number": "806-795-0602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K7297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046853001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.