Active NPI
Donna L Brazell, N.P.
- Family Nurse Practitioner
- Idalou, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP110366
- Practice address
- 113 Walnut St
Idalou, TX 79329 - Phone
- (806) 892-2537
- Fax
- (806) 892-2726
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 551054 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP110366 | TX | Primary |
Addresses
Primary practice location
113 Walnut St
Idalou, TX 79329
Mailing address
5219 City Bank Pkwy Ste 35
Lubbock, TX 79407
Phone (806) 761-0333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018953203 | Medicaid | TX | |
| 131550102 | Other | TX | FIRST CARE |
| 8N7014 | Other | TX | BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | donna.brazell@direct.myteamcare.com | UMC Physicians |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 Walnut St
Idalou, TX 79329-4003
Phone (806) 892-2537
Hospital & facility affiliations
- Excelacare Home Health
- University Medical Center
- Covenant Childrens Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umc Physicians | Family | Current | Accepting new patients |
| Lubbock County Hospital District | Past | Accepting new patients | |
| Rodney T Franklin, MD, PA | Past | Accepting new patients | |
| Lubbock County Hospital District | Past | Accepting new patients |
Locations
113 Walnut St
Idalou, TX 79329
Phone (806) 892-2537
808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400
5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334
5219 City Bank Pkwy
Ste 214
Lubbock, TX 79407
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1669418547
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1063468031
-
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1437170313
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1346373289
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lubbock, TX
- NPI 1710927983
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
-
- Children's Hospital
- Lubbock, TX
- NPI 1437171568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1346354818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 CITY BANK PKWY STE 35",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79407",
"telephone_number": "806-761-0333",
"fax_number": "806-782-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 WALNUT ST",
"city": "IDALOU",
"state": "TX",
"postal_code": "79329",
"telephone_number": "806-892-2537",
"fax_number": "806-892-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZELL",
"first_name": "DONNA",
"middle_name": "L",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2021-03-18",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "551054",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP110366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018953203",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "131550102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8N7014",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "donna.brazell@direct.myteamcare.com",
"affiliation": "Y",
"affiliationName": "UMC Physicians",
"address_1": "113 Walnut St",
"city": "Idalou",
"state": "TX",
"country_code": "US",
"postal_code": "79329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Idalou, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.