Active NPI
Brenda A Hamilton, LSA
- Surgical Physician Assistant
- Austin, TX
National Provider Identifier
1366557159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 7310 Manchaca Rd #151617
Austin, TX 78715 - Phone
- (512) 292-7889
- Fax
- (512) 292-7889
- NPI assigned
- Aug 20, 2006
- Last updated
- Nov 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | Primary | |
| Surgical Assistant | 246ZC0007X | SA00075 | TX |
Addresses
Primary practice location
7310 Manchaca Rd #151617
Austin, TX 78715
Mailing address
PO Box 151617
Austin, TX 78715
Phone (512) 636-9641
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0076JR | Other | BCBS | |
| SA00075 | Other | TX | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00075 | TX | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448064000000",
"number": "1366557159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 151617",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78715",
"telephone_number": "512-636-9641",
"fax_number": "512-292-7889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 MANCHACA RD #151617",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78715",
"telephone_number": "512-292-7889",
"fax_number": "512-292-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "BRENDA",
"middle_name": "A",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2015-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00075",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0076JR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "SA00075",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Hamilton County Hospital District (Brodie Ranch Nursing and Rehabilitation Center)
- Hamilton County Hospital District (Riverside Nursing and Rehabilitation Center)
- Hamilton County Hospital District (Focused Care at Stonebriar)
- Allie M Hamilton, CRNA
- Baker Hamilton, M.D.
- Clayton Montgomery Hamilton, DDS
- Derek Evan Hamilton, O.D.
- Elaine Leigh Hamilton, M.D.
- Elizabeth Suzanne Hamilton, AUD
- Jamie Elizabeth Hamilton, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.