Brandon James Lang, PA-C
Individual provider Active NPI Medical Physician Assistant · Bandera, TX
NPI 1750150546 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1750150546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 1050 Hwy 16 S
Bandera, TX 78003-4830 - Phone
- (830) 796-7713
- NPI assigned
- Dec 21, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213000579 | TX | Practitioner - Physician Assistant | 6305289711 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TX | Yes |
Addresses
Primary practice location
1050 Hwy 16 S
Bandera, TX 78003-4830
Mailing address
1050 Hwy 16 S
Bandera, TX 78003-4830
Phone (830) 796-7713
Other providers in Bandera, TX
- Anne-Marie Fraser Kennedy
- Ginger Kinchen
- Kinematic Concepts Physical Therapy & Sports Rehab, PLLC
- Krystal Klein
- Rebecca Kneupper
- Megan Legault
- Christine Lyn Lerback
- Angela Leyva
- Julie Lloyd-Atkinson
- Caroline Locke
All providers in Bandera, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.