BRYAN CORLEY MOFFITT L.P.C. NPI 1548356181

NPI Information

  • NPI: 1548356181
  • Provider Name: BRYAN CORLEY MOFFITT, L.P.C.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5701 AVENUE P
    LUBBOCK, TX
    ZIP 79412
  • Phone: (806) 747-3488

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NPI Details

Bryan Corley Moffitt, L.P.C. is a professional counselor in Lubbock, TX. Bryan Corley Moffitt, L.P.C. NPI is 1548356181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5701 AVENUE P
LUBBOCK, TX
ZIP 79412-674
Phone: (806) 747-3488
Fax: (806) 747-3219

The NPI 1548356181 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/4/2006 and was last updated on 10/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional12735TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
122100OTHERTEXASFIRSTCARE COMMERCIAL
2207800OTHERTEXASCOMPSYCH EAP
3152320101MEDICAIDTEXAS
4022779OTHERTEXASVMC EAP
583479LOTHERTEXASBCBS TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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