Amy Rocky Brackeen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L9108 Issued in TX

Practice address

4709 66TH St
Lubbock, TX 79414-4877

Phone

(806) 701-5844

Fax

(806) 701-5845

NPI assigned

Jan 9, 2006

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Texas a & M University System, HSC, College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Cancer Institute PLLCGroup PAC ID 6800198938, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.57 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

85.24

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.brackeen@direct.myteamcare.com

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.

• Skin Cancer Institute PLLC

  • Dermatology Physician
  • Lubbock, TX
  • NPI 1922463959
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1427036417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144877",
            "telephone_number": "806-701-5844",
            "fax_number": "806-701-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144877",
            "telephone_number": "806-701-5844",
            "fax_number": "806-701-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEEN",
        "first_name": "AMY",
        "middle_name": "ROCKY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L9108",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "L9108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Boyd, ATP
• Cassidy Boydstun
• Rex Boyles, LPC - S
• Alton Lee Bozeman Jr., PSY.D.
• Braces Braces Braces of Abbeville - Lubbock PLLC
• Clayton Lee Brackeen, FNP
• Jeffrey Scott Brackeen, M.D.
• Kassandra Dawn Bradberry
• Connor Steven Bradbury
• Leslie Amber Braden, MSN, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.