Individual provider Active NPI

Brandi L Jones, PA-C

  • Physician Assistant
  • Orangeburg, SC
National Provider Identifier
1477834893
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10675 Issued in TX
Practice address
1175 Cook Rd Ste 215
Orangeburg, SC 29118-8201
Phone
(803) 395-3837
Fax
(803) 536-5122
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10675 TX Primary

Addresses

Primary practice location

1175 Cook Rd Ste 215
Orangeburg, SC 29118-8201

Mailing address

2805 Dallas Pkwy Ste 640
Plano, TX 75093-8724
Phone (214) 983-0300

Other identifiers 3

IdentifierTypeStateIssuer
1477834893OtherSCNPI
1231PAMedicaidSC
1097061OtherNCCPA CERTICATE NUMBER

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
I20170103001612 TX Practitioner - Physician Assistant 4486818325 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1676SCMDChiropractor
54700CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctx3 PLLC CurrentSince Oct 9, 2016 Accepting new patients

Locations

709 E Slaughter Ln
Ste 404
Austin, TX 78744
Phone (512) 277-6643

401 W Slaughter Ln
Ste 300
Austin, TX 78748
Phone (512) 277-6643

3110 Guadalupe St
Ste 100
Austin, TX 78705
Phone (512) 599-9510

9500 Dallas Pkwy
Ste 100
Frisco, TX 75033
Phone (469) 535-6647

3132 Altamesa Blvd
Ft Worth, TX 76133
Phone (415) 351-9008

3014 N O Connor Rd
Ste 110
Irving, TX 75062
Phone (214) 277-3404

3014 N O Connor Rd
Ste 200
Irving, TX 75062
Phone (214) 444-5558

1900 Matlock Rd
Bldg 1
Mansfield, TX 76063
Phone (682) 628-0277

4600 Eldorado Pkwy
Ste 100
McKinney, TX 75070
Phone (972) 608-3855

2805 Dallas Pkwy
Ste 640
Plano, TX 75093
Phone (214) 983-0300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1477834893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 DALLAS PKWY STE 640",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938724",
            "telephone_number": "214-983-0300",
            "fax_number": "214-983-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 COOK RD STE 215",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291188201",
            "telephone_number": "803-395-3837",
            "fax_number": "803-536-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRANDI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477834893",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1231PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA CERTICATE NUMBER",
            "identifier": "1097061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.