Brent Edward Lawler Sr., COTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

213085 Issued in TX

Practice address

2508 Adams Ave
Odessa, TX 79761-1349

Phone

(727) 510-8719

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1780035667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 ADAMS AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611349",
            "telephone_number": "727-510-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 ADAMS AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611349",
            "telephone_number": "727-510-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLER",
        "first_name": "BRENT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "213085",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "14174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrett Lange, PT
• Lawrence David Lassa, O.D.
• Alicia Marie Latraille
• Dayna Lavallee
• Modinat Abolore Lawal
• Tammy Ruth Lawrence, LSA
• Rosalyn Lawson
• Patsy Ruth Lay, LBSW
• Chau Minh Le, M.D.
• Trang Le, MD

• Skilled Nursing Facility in Odessa, TX
• Providers in Odessa, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.