Brandi Jill Bulls, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA03135 Issued in TX

Practice address

3815 23Rd St
Lubbock, TX 79410-1809

Phone

(806) 722-3500

Fax

(806) 796-0689

NPI assigned

Mar 8, 2007

Last updated

Dec 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grace Clinic of LubbockGroup PAC ID 5597768101, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Calvert Home Health Care, LLC Home health agency, Lubbock, TX, CCN 677109
• Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
• Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
• Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
• Trustpoint Rehab Hospital of Lubbock Inpatient rehabilitation facility, Lubbock, TX, CCN 673063

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Clinic of Lubbock

  dba Grace Clinic

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1912953357
  Medicare reassignment Care Compare group
• Grace Clinic of Lubbock

  dba Expresscare Virtual

  • Multi-Specialty Clinic/Center
  • Lubbock, TX
  • NPI 1770237042
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calvert Home Health Care, LLC

  • Home Health Agency
  • Lubbock, TX
  • NPI 1801866306
  Care Compare affiliation
• Covenant Medical Center

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1972517365
  Care Compare affiliation
• Covenant Rehabilitation Hospital of Lubbock LLC

  dba TrustPoint Rehabilitation Hospital of Lubbock

  • Rehabilitation Hospital
  • Lubbock, TX
  • NPI 1952784985

  Inpatient rehabilitation facility

  Care Compare affiliation
• Lubbock Heritage Hospital, LLC.

  dba Grace Surgical Hospital

  • General Acute Care Hospital
  • Lubbock, TX
  • NPI 1225289499
  Care Compare affiliation
• Methodist Children's Hospital

  dba Covenant Children's Hospital

  • Children's Hospital
  • Lubbock, TX
  • NPI 1437171568
  Care Compare affiliation

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1417088667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101809",
            "telephone_number": "806-722-3500",
            "fax_number": "806-796-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 23RD ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101809",
            "telephone_number": "806-722-3500",
            "fax_number": "806-796-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLS",
        "first_name": "BRANDI",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbulls1379972@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3815 23rd St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794101809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tulio Arnaldo Bueso Aguilar, MD
• Allan Roberto Bueso Pineda, M.D.
• Buffalo Springs Emergency Physicians
• April Bullard
• Ryan Bullard
• Adam Edward Bunker, D.M.D
• Bailee Elaine Bunnell
• Bradley Ray Burch, ATP
• Marci Elizabeth Burchfield, APRN-CNP
• James Burke, MD

• Physician Assistant in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.