Active NPI
Donald Leroy Brothers, LMSW
- Social Worker
- Lubbock, TX
National Provider Identifier
1619608478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 55890
- Practice address
- 3510 4TH St
Lubbock, TX 79415-3329 - Phone
- (806) 472-3420
- Fax
- (806) 472-3421
- NPI assigned
- Jun 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 55890 | TX | Primary |
Addresses
Primary practice location
3510 4TH St
Lubbock, TX 79415-3329
Mailing address
4425 82ND St Apt 1162
Lubbock, TX 79424-3320
Phone (325) 201-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55890 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1619608478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 82ND ST APT 1162",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243320",
"telephone_number": "325-201-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 4TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794153329",
"telephone_number": "806-472-3420",
"fax_number": "806-472-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTHERS",
"first_name": "DONALD",
"middle_name": "LEROY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-22",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "55890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.