Lance Garret Brumlow

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1117611 Issued in TX

Practice address

2510 S Loop 336 W Ste 115
Conroe, TX 77304-3737

Phone

(936) 235-2825

NPI assigned

May 15, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C 2 K Health and Wellness PLLCGroup PAC ID 2264711449, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• C 2 K Health and Wellness PLLC

  • Urgent Care Clinic/Center
  • Conroe, TX
  • NPI 1306392311

  Family, TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1346930146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 TARRYTOWN CROSSING DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773046819",
            "telephone_number": "713-582-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S LOOP 336 W STE 115",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043737",
            "telephone_number": "936-235-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMLOW",
        "first_name": "LANCE",
        "middle_name": "GARRET",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1117611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Brown, MD
• Michael Browning
• Carlo Clement Brual
• Eduardo Brugo, M.D.
• Marisa Brumley, APRN, FNP-C
• Valerie L Bryan, LPC
• Collin Patrick Bryant
• Karen Bryant
• Tanya B Bryant, LPC
• Kristy Dawn Buchanan, MA, LPC

• Family Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.

Verify at the official NPI Registry.