Active NPI
Brittany Rachael Desantiago, PA-C
- Physician Assistant
- Mansfield, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15140
- Practice address
- 2975 E Broad St Ste 200
Mansfield, TX 76063-9186 - Phone
- (682) 518-8619
- Fax
- (682) 518-8195
- NPI assigned
- Oct 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15140 | TX | Primary |
Addresses
Primary practice location
2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Mailing address
2975 E Broad St Ste 200
Mansfield, TX 76063-9186
Phone (682) 518-8619
Other names 1
- Ms. Brittany Rachael Pint
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 E Hwy 287
Midlothian, TX 76065-4107
Phone (469) 695-2065
2700 E Broad St
Mansfield, TX 76063-5899
Phone (214) 884-4700
5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691
613 S Hwy 78
Suite 200
Wylie, TX 75098-5525
Phone (972) 941-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA15140 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1013679471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 E BROAD ST STE 200",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639186",
"telephone_number": "682-518-8619",
"fax_number": "682-518-8195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 E BROAD ST STE 200",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639186",
"telephone_number": "682-518-8619",
"fax_number": "682-518-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESANTIAGO",
"first_name": "BRITTANY",
"middle_name": "RACHAEL",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-12",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA15140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "PINT",
"middle_name": "RACHAEL",
"prefix": "MS.",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.