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Skin Cancer Institute PLLC

NPI 1922463959ActiveOrganization· Dermatology· Lubbock, TX

Dermatology in Lubbock, Texas, registered in NPPES in December 2015. The authorized official on file is Jeffrey Scott Brackeen, MD, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1922463959
StatusActive
Entity typeOrganization
NPI issuedDec 17, 2015
Last updated in NPPESMay 21, 2024
Certified by providerMay 21, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

Other dermatologists in Lubbock

All 21 dermatologists in Lubbock · All dermatologists in Texas