NPIMap

Organization Active NPI

Texas Tech University Health Sciences Center Lubbock

Doing business as TTUHSC/Gastroenterology

  • Gastroenterology Physician
  • Lubbock, TX
National Provider Identifier
1356390645
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Doing business as
TTUHSC/Gastroenterology
Practice address
3601 4TH St
Lubbock, TX 79430-9903
Phone
(806) 743-3150
Fax
(806) 743-2893
NPI assigned
May 6, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Authorized official

Name
Brett Swett
Title
Assistant Dean Finance
Phone
(806) 743-1830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

3601 4TH St
Lubbock, TX 79430-9903

Mailing address

PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-4263

Other practice location 1

3502 9th St Ste 240
Lubbock, TX 79415-3396
Phone (806) 743-2236

Other practice location 2

4640 N Loop 289
Lubbock, TX 79416-2423
Phone (806) 461-4880

Other identifiers 4

IdentifierTypeStateIssuer
00DG43OtherTXBC/BS
131062505MedicaidTX
G1217MedicaidNM
131062509MedicaidTX

Other names 1

  • TTUHSC/Gastroenterology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110318000468 TX Part B Supplier - Clinic/Group Practice 4385549674 Receives reassigned benefits from 692 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Texas Tech University Health Sciences Center Lubbock16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners & affiliated clinicians

Practitioners 8

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": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1356390645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27476",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270476",
            "telephone_number": "806-743-4263",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794309903",
            "telephone_number": "806-743-3150",
            "fax_number": "806-743-2893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3502 9th St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153396",
            "country_code": "US",
            "telephone_number": "806-743-2236",
            "fax_number": "806-743-6424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4640 N Loop 289",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794162423",
            "country_code": "US",
            "telephone_number": "806-461-4880",
            "fax_number": "806-749-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-06",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SWETT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "ASSISTANT DEAN FINANCE",
        "authorized_official_telephone_number": "806-743-1830"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00DG43",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131062505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G1217",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131062509",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TTUHSC/Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TTUHSC/Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.