ANTONIO LEJAUN BRIGHAM NP
NPI 1801492889
Nurse Practitioner - Psychiatric/Mental Health in Tyler, TX

Active since December 07, 2020PECOS EnrolledAccepts Medicare Assignment
100 INDEPENDENCE PL STE 307, TYLER, TX 75703(430) 288-5800(800) 797-3780 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2025, Feb 16, 2025, Dec 7, 2020 (3 updates tracked since 2020).

About Antonio Lejaun Brigham Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO LEJAUN BRIGHAM NP (NPI 1801492889) is an individual psychiatric/mental health provider in Tyler, Texas, licensed in Texas (1021700) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1801492889
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANTONIO LEJAUN BRIGHAMCredential: NP
Location Address100 INDEPENDENCE PL STE 307Tyler, TX 75703-1328
Mailing Address100 Independence Pl Ste 307Tyler, TX 75703-1328 · (430) 288-5800 · Fax (800) 797-3780
Fax(800) 797-3780
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 7, 2020
Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1801492889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1021700
100 INDEPENDENCE PL STE 307, Tyler, TX 75703

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Antonio Lejaun Brigham Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143734855
PECOS Enrollment IDI20250707000849
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Antonio Brigham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
100 INDEPENDENCE PL STE 307
Tyler, TX 75703
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
Psychiatric/Mental Health
6005 WINDWARD FALLS WAY
Porter, TX 77365
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
100 INDEPENDENCE PL STE 307
TYLER, TX 75703
Nurse Practitioner (Psychiatric/Mental Health)
100 INDEPENDENCE PL STE 307
TYLER, TX 75703
Clinical Nurse Specialist (Psychiatric/Mental Health)
100 INDEPENDENCE PL STE 307
TYLER, TX 75703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antonio Brigham's NPI number?

The NPI number for Antonio Brigham is 1801492889. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Antonio Brigham located?

Antonio Brigham practices at 100 Independence Pl Ste 307, Tyler, TX 75703. The listed phone number is (430) 288-5800.

What is Antonio Brigham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Antonio Brigham enrolled in Medicare?

Yes. Antonio Brigham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Antonio Brigham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Brigham reassigns Medicare benefits to 2 organizations: East Texas Psychiatry And Counseling PLLC (Tyler, TX) and The Community Integration Project (Porter, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Antonio Brigham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Brigham accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Antonio Brigham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Antonio Brigham was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.