Active NPI
Marcelo Brito MD, PLLC
Doing business as Lakepointe Direct Primary Care
- Family Medicine Physician
- Lewisville, TX
National Provider Identifier
1285394015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MARCELO BRITO MD, PLLC
- Doing business as
- Lakepointe Direct Primary Care
- Practice address
- 713 Hebron Pkwy Ste 220
Lewisville, TX 75057-5135 - Phone
- (972) 315-8588
- NPI assigned
- Dec 21, 2021
- Last updated
- Oct 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcelo Ernesto Brito Telles, MD
- Title
- Medical Director/Family Physician
- Phone
- (779) 770-7011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
713 Hebron Pkwy Ste 220
Lewisville, TX 75057-5135
Mailing address
2812 Dorset
The Colony, TX 75056-3592
Phone (779) 770-7011
Other names 1
- Lakepointe Direct Primary Care
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | eclinicalworks.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1215647706
-
- Family Nurse Practitioner
- Fort Worth, TX
- NPI 1154995793
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1982825725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1285394015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 DORSET",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750563592",
"telephone_number": "779-770-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 HEBRON PKWY STE 220",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750575135",
"telephone_number": "972-315-8588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCELO BRITO MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-21",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "BRITO TELLES",
"authorized_official_first_name": "MARCELO",
"authorized_official_middle_name": "ERNESTO",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/FAMILY PHYSICIAN",
"authorized_official_telephone_number": "779-770-7011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "eclinicalworks.com",
"affiliation": "N",
"endpointDescription": "laptops using eCW cloud-based EMR",
"address_1": "713 Hebron Pkwy Ste 220",
"city": "Lewisville",
"state": "TX",
"country_code": "US",
"postal_code": "750575135",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Lakepointe Direct Primary Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lakepointe Direct Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.