Antonio Lejaun Brigham, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1021700 Issued in TX

Practice address

100 Independence PL Ste 307
Tyler, TX 75703-1328

Phone

(430) 288-5800

Fax

(800) 797-3780

NPI assigned

Dec 7, 2020

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

East Texas Psychiatry and Counseling PLLCGroup PAC ID 3173022795, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Texas Psychiatry and Counseling PLLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Tyler, TX
  • NPI 1962201855
  Medicare reassignment Care Compare group NPD Authorized official
• The Community Integration Project

  • Psychiatric/Mental Health Nurse Practitioner
  • Porter, TX
  • NPI 1225540701

  Licensed Vocational Nurse

  Medicare reassignment NPD
• Advocacy Project LLC

  • Developmentally Disabled Services Day Training Agency
  • Porter, TX
  • NPI 1619751914
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1801492889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE PL STE 307",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031328",
            "telephone_number": "430-288-5800",
            "fax_number": "800-797-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE PL STE 307",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031328",
            "telephone_number": "430-288-5800",
            "fax_number": "800-797-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHAM",
        "first_name": "ANTONIO",
        "middle_name": "LEJAUN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1021700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Bridges
• Jessica Bridges
• Misty M Bridges, OM
• Jerelen Briggle, M.S. CCC-SLP
• Nathaniel Winfield Briggs, LPC-INTERN
• Patti R Brigham
• Bright Blessings Midwifery, LLC
• David Ross Bright, D.D.S.
• Kelege Bright
• Thomas C Bright III, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.