Individual provider Active NPI

Brandy Gilbrett Trevino

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1851744957
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131412 Issued in TX
Practice address
3506 21St St
Ste. 507
Lubbock, TX 79410-1212
Phone
(806) 725-4805
Fax
(806) 723-7076
NPI assigned
Jul 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131412 TX Primary

Addresses

Primary practice location

3506 21St St
Ste. 507
Lubbock, TX 79410-1212

Mailing address

3420 22ND PL
Lubbock, TX 79410-1314
Phone (806) 725-5844

Other names 1

  • Brandy Trevino Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160919000764 TX Practitioner - Nurse Practitioner 6204123375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dora Roberts Rehabilitation CenterGroup PAC ID 0941285498, 114 clinicians
CSK Medical PartnersGroup PAC ID 2466404447, 20 clinicians

Practice addresses (Care Compare)

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

4110 22ND PL
Lubbock, TX 79410-1122
Phone (809) 792-4329

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • Brownfield Regional Medical Center Hospital, Brownfield, TX, CCN 450399
  • Cogdell Memorial Hospital Hospital, Snyder, TX, CCN 451384
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CSK Medical Partners CurrentSince Feb 1, 2022 Accepting new patients
CSK Medical Partners CurrentSince Feb 1, 2022 Accepting new patients

Locations

5044 Frankford Ave
Ste 100
Lubbock, TX 79424
Phone (806) 792-7200

4110 22nd Pl
Lubbock, TX 79410
Phone (806) 792-4329

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1851744957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101314",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3506 21ST ST",
            "address_2": "STE. 507",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101212",
            "telephone_number": "806-725-4805",
            "fax_number": "806-723-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "BRANDY",
        "middle_name": "GILBRETT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDY",
            "last_name": "TREVINO",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.