Active NPI
Brandon Tucker, RN
- Emergency Registered Nurse
- Huntsville, TX
National Provider Identifier
1316856461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- 1124066
- Practice address
- 114 Avalon Dr
Huntsville, TX 77320-2179 - Phone
- (936) 435-4589
- NPI assigned
- Sep 3, 2026
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 1124066 | TX | Primary |
Addresses
Primary practice location
114 Avalon Dr
Huntsville, TX 77320-2179
Mailing address
114 Avalon Dr
Huntsville, TX 77320-2179
Phone (936) 435-4589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1316856461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 AVALON DR",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773202179",
"telephone_number": "936-435-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 AVALON DR",
"city": "HUNTSVILLE",
"state": "TX",
"postal_code": "773202179",
"telephone_number": "936-435-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "BRANDON",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-03",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Emergency",
"state": "TX",
"license": "1124066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.