Organization Active NPI

Brett Jungman DC PLLC

  • Chiropractor
  • Lubbock, TX
National Provider Identifier
1275719684
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9900 Issued in TX
Legal business name
BRETT JUNGMAN DC PLLC
Practice address
1634 17TH St
Lubbock, TX 79401-4844
Phone
(806) 535-7099
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Dr. Brett Shane Jungman, D.C.
Title
President
Phone
(806) 535-7099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9900 TX Primary

Addresses

Primary practice location

1634 17TH St
Lubbock, TX 79401-4844

Mailing address

1634 17TH St
Lubbock, TX 79401-4844
Phone (806) 535-7099

National Provider Directory

National Provider Directory

Locations

1634 17th St
Lubbock, TX 79401
Phone (806) 535-7099

101 N 9th St
Slaton, TX 79364
Phone (806) 828-4700

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1275719684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 17TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014844",
            "telephone_number": "806-535-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 17TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014844",
            "telephone_number": "806-535-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT JUNGMAN DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "JUNGMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-535-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9900",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.