BRANDON XIMENEZ (MD) – Student in an Organized Health Care Education/Training Program, NPI 1861130791

BRANDON XIMENEZ (MD) is a healthcare provider. based in Lubbock, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. The NPI Number for BRANDON XIMENEZ (MD) is 1861130791

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON XIMENEZ (MD)
NPI
1861130791
Phone
Not provided
Address
3601 4TH ST
Enumeration Date
20 May 2022
Last Update Date
20 May 2022

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
8067125715
Graduation Year
2022 (4 years ago)
PAC ID
4880180546
Group Practice PAC ID
6204163181
Professional Enrollment ID
I20251231003378
Address ID
TX794246232LU5715XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

8,730 FAMILY PRACTICE in TX

Provider Addresses for BRANDON XIMENEZ (MD)

  • 3601 4TH ST

    LUBBOCK, TX 794300002

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-31

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251231003378IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79430)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204163181View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeTX
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

What federal number belongs to BRANDON XIMENEZ (MD)?
The federal identifier for BRANDON XIMENEZ (MD) is NPI 1861130791.
Is BRANDON XIMENEZ (MD)'s NPI currently valid?
The extract we use shows BRANDON XIMENEZ (MD) as active.
Does BRANDON XIMENEZ (MD) list a primary specialty?
If you are matching referrals, note Student in an Organized Health Care Education/Training Program for BRANDON XIMENEZ (MD). Clinical services aligned with this taxonomy classification.
Where is BRANDON XIMENEZ (MD)'s primary listing?
We display Lubbock, Texas because that is what the record indicates for BRANDON XIMENEZ (MD).
How can I contact BRANDON XIMENEZ (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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