Individual provider Active NPI

Brittany Ann Buckmaster, PA-C

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1053714618
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA09475 Issued in TX
Practice address
3410 Worth St
Ste 235
Dallas, TX 75246-2003
Phone
(214) 820-0434
Fax
(214) 820-0435
NPI assigned
Sep 26, 2014
Last updated
Mar 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA09475 TX Primary

Addresses

Primary practice location

3410 Worth St
Ste 235
Dallas, TX 75246-2003

Mailing address

3410 Worth St
Ste 235
Dallas, TX 75246-2003
Phone (214) 820-0434

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bbuckmaster223538@direct.sw.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414000936 TX Practitioner - Physician Assistant 6709104227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1321 S Beckham Ave
Baylor Scott and White Liver Consulta
Tyler, TX 75701-3323
Phone (214) 820-8500

3417 Gaston Ave
Dallas, TX 75246-2036

3500 Gaston Ave
FL 1
Dallas, TX 75246-2017
Phone (972) 817-6100

4001 Worth St
Dallas, TX 75246-1608

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09475TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Aug 25, 2015 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 25, 2015 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

3410 Worth St
Ste 235
Dallas, TX 75246
Phone (214) 820-0434

3417 Gaston Ave
Ste 1000
Dallas, TX 75246
Phone (469) 800-9000

3417 Gaston Ave
Ste 965
Dallas, TX 75246
Phone (214) 820-7010

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (469) 800-8648

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: bbuckmaster223538@direct.sw.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1053714618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST",
            "address_2": "STE 235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462003",
            "telephone_number": "214-820-0434",
            "fax_number": "214-820-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WORTH ST",
            "address_2": "STE 235",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462003",
            "telephone_number": "214-820-0434",
            "fax_number": "214-820-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKMASTER",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bbuckmaster223538@direct.sw.org",
            "affiliation": "N",
            "address_1": "3417 Gaston Ave Ste 965",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752462036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.