Individual provider Active NPI

Brandon Ximenez, MD

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1861130791
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
W1923 Issued in TX
Practice address
5715 114TH St
Lubbock, TX 79424-6232
Phone
(806) 712-5715
Fax
(806) 722-1182
NPI assigned
May 20, 2022
Last updated
Aug 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X W1923 TX Primary

Addresses

Primary practice location

5715 114TH St
Lubbock, TX 79424-6232

Mailing address

5715 114TH St
Lubbock, TX 79424-6232
Phone (806) 712-5715

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231003378 TX Practitioner - Family Practice 4880180546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoa H. Tran MD PAGroup PAC ID 6204163181, 6 clinicians

Practice addresses (Care Compare)

5715 114TH St
Lubbock, TX 79424-6232
Phone (806) 712-5715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hoa H. Tran MD PA Family Medicine CurrentSince Oct 20, 2025 Accepting new patients

Locations

5715 114th St
Lubbock, TX 79424
Phone (806) 712-5715

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1861130791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246232",
            "telephone_number": "806-712-5715",
            "fax_number": "806-722-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246232",
            "telephone_number": "806-712-5715",
            "fax_number": "806-722-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIMENEZ",
        "first_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W1923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.