Skin Cancer Institute PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SKIN CANCER INSTITUTE PLLC

Practice address

4709 66TH St
Lubbock, TX 79414-4877

Phone

(806) 701-5844

Fax

(806) 701-5845

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Jeffrey Scott Brackeen, MDNPI 1922290592

Title

Partner

Phone

(806) 701-5844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Scott Brackeen, M.D.

  • Dermatology Physician
  • Lubbock, TX
  • NPI 1922290592
  Medicare reassignment Care Compare group NPD Authorized official
• Amy Rocky Brackeen, MD

  • Dermatology Physician
  • Lubbock, TX
  • NPI 1427036417
  Medicare reassignment Care Compare group NPD
• Clayton Lee Brackeen, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1891332292
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1922463959",
    "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"
        },
        {
            "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": "806-701-5844",
            "fax_number": "806-701-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN CANCER INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "BRACKEEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "806-701-5844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Chrystelle Sizemore, LPC, LMFT
• Charleena Rose Skare, DO
• Rony Thomas Skaria, MD
• Jonathan David Skelton, M.D.
• Randi Beth Skelton, NP-C
• Skin Deep Dermal Artistry by Lea
• Derek Ian Skinner, MD
• Skitch Non Emergency Medical Transport LLC
• Stacey L Slavik, APN
• Sleep Center of Lubbock

• 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.
• 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.