Organization Active NPI

Marcelo Brito MD, PLLC

Doing business as Lakepointe Direct Primary Care

  • Family Medicine Physician
  • Lewisville, TX
National Provider Identifier
1285394015
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Dr. Marcelo Ernesto Brito Telles, MDNPI 1699062018
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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL eclinicalworks.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221101000014 TX Part B Supplier - Clinic/Group Practice 1557738747 Receives reassigned benefits from 2 practitioners
Practice locations: Lewisville, TX

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.