Brock Lewis Smith, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9117281 Issued in FL

Practice address

3251 N McMullen Booth Rd Ste 301
Clearwater, FL 33761-2022

Phone

(727) 669-5300

Fax

(727) 669-5366

NPI assigned

Oct 11, 2005

Last updated

Aug 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, FL2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
• Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
• AdventHealth Carrollwood Hospital, Tampa, FL, CCN 100069
• Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brock.smithpa@direct.mybaycare.org
• FHIR API: https://api.platform.athenahealth.com/15533/brand/8/csg/1/fhir/r4

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.

• Baycare Medical Group, Inc.

  • General Practice Physician
  • Clearwater, FL
  • NPI 1043269871
  Medicare reassignment Care Compare group NPD (past)
• Ortho Spine Surgery Institute PA

  • Orthopaedic Surgery of the Spine Physician
  • North Richland Hills, TX
  • NPI 1386861698
  Medicare reassignment
• Baycare Medical Group, Inc

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1497117329
  NPD
• Azalea Orthopedic & Sports Medicine Clinic PA

  • Orthopaedic Surgery Physician
  • Tyler, TX
  • NPI 1699765107
  NPD (past)

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

• Morton Plant Hospital Association Inc

  dba Morton Plant Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• Tarpon Springs Hospital Foundation Inc

  dba AdventHealth North Pinellas

  • General Acute Care Hospital
  • Tarpon Springs, FL
  • NPI 1568473015
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  dba Mease Countryside Hospital

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1265419907
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  dba Mease Dunedin Hospital

  • General Acute Care Hospital
  • Dunedin, FL
  • NPI 1336125640
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Carrollwood

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1427068345
  Care Compare affiliation

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1669460986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST FL 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 N MCMULLEN BOOTH RD STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612022",
            "telephone_number": "727-669-5300",
            "fax_number": "727-669-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 N TARRANT PKWY",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761828461",
            "country_code": "US",
            "telephone_number": "817-616-0700 x115",
            "fax_number": "817-616-0708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BROCK",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA02632",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9117281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brock.smithpa@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Smith Winquist & Associates MD PA (Gulf Coast Pathologists)
• Marquita Smith-Poole, RN
• Jessiah Kenneth Smith-Shearer, LMT
• Amber Smith, PA
• Austin T Smith, D.O.
• Carson James Smith, MD
• Corey Lamont Smith
• David Smith, CRNA
• Eben A Smith, APRN
• Edward Lewis Smith, HIS, BSN, RN, CCRN

• Medical Physician Assistant in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.