Brandy Jo Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

3500 W Purdue Ave
Muncie, IN 47304-6357

Phone

(765) 747-6090

Fax

(765) 747-5069

NPI assigned

Jan 9, 2018

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

University of Nebraska College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

University Dermatology Center PCGroup PAC ID 5496706210, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bsmith316949@ecommunitydirect.com

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.

• Community Physicians of Indiana Inc

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1619105244
  Medicare reassignment Care Compare group NPD
• University Dermatology Center PC

  • Specialist
  • Muncie, IN
  • NPI 1578615266
  Medicare reassignment Care Compare group
• Community Physicians of Indiana Inc

  dba Community Physician Network

  • Endocrinology, Diabetes & Metabolism Physician
  • Carmel, IN
  • NPI 1992396337
  NPD

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1558878702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046357",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046357",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 S A St",
            "address_purpose": "LOCATION",
            "city": "Elwood",
            "state": "IN",
            "postal_code": "460361942",
            "country_code": "US",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Sim Hodgin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741931",
            "country_code": "US",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1941 Virginia Ave",
            "address_purpose": "LOCATION",
            "city": "Connersville",
            "state": "IN",
            "postal_code": "473312833",
            "country_code": "US",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13121 Olio Rd",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460377237",
            "country_code": "US",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1710 S Spiceland Rd",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473629101",
            "country_code": "US",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDY",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "10002401A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsmith316949@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "13121 Olio Rd",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460377237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amber Smalley, BCBA
• Alexandria Smart, LMHC
• Ashleigh Smith, LMHC
• Ashley Smith
• Belinda Smith, ACIT II, MATS, MPA
• Christina Renee Smith, LMHC
• Ciara Nicole Smith, MD
• David Smith, LMHC
• David S Smith, DPM
• Deana Smith

• Medical Physician Assistant in Muncie, IN
• Providers in Muncie, IN by specialty
• Medical Physician Assistant in Indiana

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