DR. JORGE R BROTHERS (NPI# 1841232923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841232923 |
| Entity Type | Individual |
| Full Name | DR. JORGE R BROTHERS |
| Credential | M.D. |
| Practice Address |
418 N Utica Ave Lubbock TX 79416-3035 |
| Practice Telephone | 8067715882 |
| Practice Fax Number | 8066879002 |
| Mailing Telephone | 8067715882 |
| Mailing Fax Number | 8066879002 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | H1048 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000V8925 | 05 | |
| TX | BLUE CROSS BLUE SHIELD TEXAS | 8W8990 | 01 |
| TX | 115761207 | 05 |
| Street Address |
418 N UTICA AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477921070 | Stacy Brothers | Nurse Practitioner | 418 N Utica Ave, Lubbock, TX 79416-3035 | 2015-09-13 |
| 1457420515 | Jorge R Brothers M D P A | Specialist | 418 N Utica Ave, Lubbock, TX 79416-3035 | 2006-11-06 |
| 1164506572 | Carl Lee Britton Jr. | Urology | 418 N Utica Ave, Lubbock, TX 79416-3035 | 2006-10-24 |
| 1447334867 | Scott Steven Spore | Urology | 418 N Utica Ave, Lubbock, TX 79416-3035 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417191875 | James Thomas Cammack | Urology | Texas Tech University Health Sciences, Department of Urology 3601 4th Street Stop7260, Lubbock, TX 79430-7260 | 2009-04-28 |
| 1255519716 | Girish C. Vallabhan Md Pa | Urology | 3821 22nd St, Suite B, Lubbock, TX 79410-1113 | 2008-02-07 |
| 1003990433 | Cornerstone Urology Pllc | Urology | 3502 82nd St, Lubbock, TX 79423-1730 | 2006-10-24 |
| 1861506669 | Manoj P Khandheria | Urology | 2424 50th St Rm 301, Lubbock, TX 79412-2561 | 2006-08-18 |
| 1629012844 | Lubbock Urology Clinic, LLP | Urology | 6102 82nd St Ste 5, Lubbock, TX 79424-0803 | 2006-06-16 |
| 1205875556 | Michael R Crone | Urology | 3601 4th St Stop 7260, Lubbock, TX 79430-7260 | 2006-06-05 |
| 1366428096 | Thomas C. Nicholson | Urology | 3612 23rd Street, Lubbock, TX 79410-1326 | 2005-12-15 |
| 1033117155 | James Frederick Kirk | Urology | 3612 23rd St, Lubbock, TX 79410-1326 | 2005-07-12 |
| 1982607586 | Girish Chiyyarath Vallabhan | Urology | 6102 82nd St, Suite 5, Lubbock, TX 79424-0802 | 2005-05-27 |
| 1679836977 | Ryan Christopher Owen | Urology | 3612 23rd St, Lubbock, TX 79410 | 2012-06-21 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.