Brandon Kyle Smith, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PA03132 Issued in TX

Practice address

2708 Jefferson Dr Ste a
Liberty, TX 77575-1036

Phone

(936) 334-8800

Fax

(936) 334-8801

NPI assigned

May 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Firm Foundations Healthcare Clinic PCGroup PAC ID 1052475217, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Liberty, TX, CCN 679125
• Liberty Dayton Regional Medical Center Hospital, Liberty, TX, CCN 451375
• Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424
• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Firm Foundations Healthcare Clinic PC

  • Rural Health Clinic/Center
  • Liberty, TX
  • NPI 1437991973

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

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.

• Firm Foundations Healthcare Clinic PC

  • Family Medicine Physician
  • Liberty, TX
  • NPI 1447403399

  TX

  Medicare reassignment Care Compare group
• Firm Foundations Healthcare Clinic PC

  • Rural Health Clinic/Center
  • Liberty, TX
  • NPI 1437991973
  Care Compare group NPD

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

• Angels Above US, Inc.

  • Home Health Agency
  • Liberty, TX
  • NPI 1265437446
  Care Compare affiliation
• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187

  Hospital

  Care Compare affiliation
• Liberty County Hospital District No 1

  • Critical Access Hospital
  • Liberty, TX
  • NPI 1154324952

  Hospital

  Care Compare affiliation
• San Jacinto Methodist Hospital

  • General Acute Care Hospital
  • Baytown, TX
  • NPI 1891789772

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1265690309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 JEFFERSON DR STE A",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775751036",
            "telephone_number": "936-334-8800",
            "fax_number": "936-334-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 JEFFERSON DR STE A",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775751036",
            "telephone_number": "936-334-8800",
            "fax_number": "936-334-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDON",
        "middle_name": "KYLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "PA03132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PHYSICIAN ASSISTANT",
            "identifier": "PA03132",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Glen Rodger, R.PH.
• Patricia Rollins
• Veronica Renee Roth, FNP-BC
• Jordin Seidel
• Diane Slack
• Ruby Smith, LCDC
• Sonographic Imaging Services
• Southeast Texas Medical Inc.
• Spectrum Sprouts Therapy LLC
• Jessica Marie Stanley, LCDC

• All providers in Liberty, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.