Jeffrey Scott Brackeen, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

L2818 Issued in TX

Practice address

4709 66TH St
Lubbock, TX 79414-4877

Phone

(806) 791-5844

Fax

(806) 701-5845

NPI assigned

Aug 16, 2007

Last updated

May 21, 2024By 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 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Pathology

Education

Texas a & M University System, HSC, College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Cancer Institute PLLCGroup PAC ID 6800198938, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.brackeen@direct.myteamcare.com

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.

• Skin Cancer Institute PLLC

  • Dermatology Physician
  • Lubbock, TX
  • NPI 1922463959
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1922290592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144877",
            "telephone_number": "806-701-5844",
            "fax_number": "806-701-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 66TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794144877",
            "telephone_number": "806-791-5844",
            "fax_number": "806-701-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEEN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L2818",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "L2818",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "L2818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex Boyles, LPC - S
• Alton Lee Bozeman Jr., PSY.D.
• Braces Braces Braces of Abbeville - Lubbock PLLC
• Amy Rocky Brackeen, MD
• Clayton Lee Brackeen, FNP
• Kassandra Dawn Bradberry
• Leslie Amber Braden, MSN, FNP-C
• Sharronda Richawn Bradford, FNP
• Brandon R Bradley, MD
• Craig Bradley, M.D.

• Dermatology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.