Brandon Luttrell

Primary specialty

SpecialistTaxonomy code 174400000X

License

1167560 Issued in TX

Practice address

6640 Iola Ave
Lubbock, TX 79424-7845

Phone

(806) 797-8099

NPI assigned

Feb 17, 2015

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1457742017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 100TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 IOLA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247845",
            "telephone_number": "806-797-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTTRELL",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1167560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Luna, MED, LPC
• Kaylie Tuyen Luong
• Elisa Belle Walter Beck Luschin Von Ebengreuth, LMFT-A
• Micah Danielle Lust, PA-C
• Lutheran Social Services of the South, Inc.
• Julie Luu, DO
• Stephanie B Luu, DO
• Luxottica of America Inc
• Luxottica of America Inc.
• Luxottica Retail North America Inc

• Specialist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.