Active NPI
Lanny B. Brustein, DC
- Chiropractor
- Lakeway, TX
National Provider Identifier
1770633125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5511
- Practice address
- 222 Capri
Lakeway, TX 78734-4306 - Phone
- (512) 891-0861
- NPI assigned
- Jan 10, 2007
- Last updated
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5511 | TX | Primary |
Addresses
Primary practice location
222 Capri
Lakeway, TX 78734-4306
Mailing address
2303 RR 620 S
Suite 190
Lakeway, TX 78734-6219
Phone (512) 891-0861
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 |
|---|---|---|---|
| 5511 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1770633125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 RR 620 S",
"address_2": "SUITE 190",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787346219",
"telephone_number": "512-891-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 CAPRI",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787344306",
"telephone_number": "512-891-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSTEIN",
"first_name": "LANNY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "5511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
- Brianda Hernandez PLLC (Highland Family Dentistry)
- Colin Broadbelt, P.T.
- Brookdale Lakeway LLC (Brookdale Lakeway)
- Kristopher Matthew Brown, AU.D.
- Madison Brunner, DPT
- BTB Lakeway Inc (Lakeway Pharmacy)
- Rachel Lynne Buechler, DDS
- Valeria Caceres Plata
- Candice Ackerman, PHD, PLLC (Flourish Counseling Center)
- Charles Thomas Cansler, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.