Brandon Phipps, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15-01572 Issued in KS

Practice address

2101 N Waldron St
Hutchinson, KS 67502-1131

Phone

(620) 669-2500

NPI assigned

Sep 27, 2012

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 KS

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Intensive Care Consortium - Midwest, LLCGroup PAC ID 2163893348, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wesley Medical Center Hospital, Wichita, KS, CCN 170123
• Southwest Medical Center Hospital, Liberal, KS, CCN 170068

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Intensive Care Consortium - Midwest, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Wichita, KS
  • NPI 1275278574
  Medicare reassignment Care Compare group
• Southwest Medical Center

  • Surgery Physician
  • Liberal, KS
  • NPI 1144493040
  Medicare reassignment NPD
• Southwest Medical Center

  • Diagnostic Radiology Physician
  • Liberal, KS
  • NPI 1285503078
  NPD
• Kansas Spine Anesthesia Corporation PA

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
  • NPI 1720345911
  NPD (past)

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

• Southwest Medical Center

  • General Acute Care Hospital
  • Liberal, KS
  • NPI 1538109251
  Care Compare affiliation
• Wesley Medical Center LLC

  • Land Ambulance
  • Wichita, KS
  • NPI 1205760006

  Hospital

  Care Compare affiliation
• Wesley Medical Center LLC

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1447299649
  Care Compare affiliation

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1346591518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021131",
            "telephone_number": "620-669-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021131",
            "telephone_number": "620-669-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "BRANDON",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200968330A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shakara Nate Pete, PMHMP
• Patricia Lee Peters, LSCSW
• Aubrey Peterson, PA-C
• Christine Marie Peterson, PT
• Joy Peterson
• Physical Therapy by Phoenix of Hutchinson LLC
• Megan A Pinkerton, AUD
• Pinnacle Sports Medicine & Orthopaedics PA
• Pinnacle Sports Medicine & Orthopaedics, PA
• Jordan Pittman, DMD

• Medical Physician Assistant in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Medical Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.

Verify at the official NPI Registry.