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BRANDIE FULBRIGHT
NPI 1811443179
Intermediate Care Facility, Intellectual Disabilities in Lubbock, TX

Active since August 28, 2016
5322 22ND ST, LUBBOCK, TX 79407(210) 268-7759 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 21, 2016, Aug 28, 2016 (2 updates tracked since 2016).

About Brandie Fulbright NPPES

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

BRANDIE FULBRIGHT (NPI 1811443179) is an individual intermediate care facility, intellectual disabilities provider in Lubbock, Texas, licensed in Texas (007350) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1811443179
Entity TypeIndividualFemale
Primary Taxonomy315P00000X
Provider Legal NameBRANDIE FULBRIGHT
Location Address5322 22ND STLubbock, TX 79407-2117
Mailing Address5322 22nd StreetLubbock, TX 79407 · (210) 268-7759
Phone(210) 268-7759
Sole ProprietorYes
Enumeration DateAugust 28, 2016
Last NPPES UpdateSeptember 21, 20162 updates tracked since enumeration
✔ NPI 1811443179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in TX · 007350
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
5322 22ND ST, Lubbock, TX 79407
Open in Google Maps ↗

Other Identifiers 1

Medicaid007350TX

Other Providers at the Same Location NPPES 2

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

JAMES E. RYAN
Intermediate Care Facility, Mental Illness
5322 22ND ST
LUBBOCK, TX 79407
Lubbock County (806) 797-9859
EUGENE S BONDS JR.
Intermediate Care Facility, Intellectual Disabilities
5322 22ND ST
LUBBOCK, TX 79407
Lubbock County (806) 543-0488

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 Brandie Fulbright's NPI number?

The NPI number for Brandie Fulbright is 1811443179. It was assigned to this individual provider in the NPPES registry on August 28, 2016.

Where is Brandie Fulbright located?

Brandie Fulbright practices at 5322 22nd St, Lubbock, TX 79407. The listed phone number is (210) 268-7759.

What is Brandie Fulbright's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Brandie Fulbright was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.