Brent Maxwell Baskin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2 Medical Center Dr Ste 202
Springfield, MA 01107-1272

Phone

(413) 205-1200

NPI assigned

Jun 14, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 9, 2024 through May 9, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New England Center for Functional Medicine PC

  • Obesity Medicine (Internal Medicine) Physician
  • Springfield, MA
  • NPI 1730202938
  NPD

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1407424880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR STE 202",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071272",
            "telephone_number": "413-205-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER DR STE 202",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071272",
            "telephone_number": "413-205-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKIN",
        "first_name": "BRENT",
        "middle_name": "MAXWELL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Barton
• Kelsey Barz
• Orlin Ognyanov Basarboliev, MD
• Clarese M. Basile, DNP, PMHNP-BC, NCC
• Adam Baskin, NP
• Bass Chiropractic & Physical Therapy
• Jessica J. Bass, MSW
• Julian Bass
• Catherine M Bastien
• Cristina Batarseh, MD

• Physician Assistant in Springfield, MA
• Providers in Springfield, MA by specialty
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.