Individual provider Active NPI

Brett E Smith, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Lakeway, TX
National Provider Identifier
1689948879
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1999 Issued in TX
Practice address
200 Medical Pkwy
Ste 130
Lakeway, TX 78738
Phone
(512) 654-0103
Fax
(512) 654-0114
NPI assigned
Mar 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 1999 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 1999 TX Primary

Addresses

Primary practice location

200 Medical Pkwy
Ste 130
Lakeway, TX 78738

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

2608 Brockton Dr
Austin, TX 78758-4414
Phone (512) 654-4053

Other practice location 2

5251 W US 290 Hwy Service Rd
Austin, TX 78735
Phone (512) 654-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bsmithdo273621@direct.sw.org Direct

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120914000485 TX Practitioner - Podiatry 5092963108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians

Practice addresses (Care Compare)

100 Medical Pkwy
Lakeway, TX 78738-5621
Phone (512) 571-5000

1001 Westbank Dr
Baylor Scott and White Clinic Westlake
Baylor Scott & White Clin, TX 78746-6669
Phone (512) 654-4150

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

200 Medical Pkwy
Lakeway, TX 78738-1794

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

2608 Brockton Dr
Austin, TX 78758-4414
Phone (512) 654-4050

3108 Ranch Rd 620
Lakeway, TX 78738-5635
Phone (512) 654-4200

5000 W Slaughter LN 100 BLDG
6 Baylor Scott and White Clinic Austi
Austin, TX 78749-4015
Phone (512) 291-8002

5245 W Hwy 290
Baylor Scott and White Medical Center Austi
Austin, TX 78735-8963
Phone (512) 654-2100

5251 W Hwy 290
Baylor Scott and White Clinic Austin Oak Hi
Austin, TX 78735-8963
Phone (512) 654-3000

5251 W Hwy 290 100
Baylor Scott and White Cancer and Infusion Ce
Austin, TX 78735-8963
Phone (512) 654-4319

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

9521 W US Hwy 290 105
Baylor Scottandwhite Clinic Austi
Austin, TX 78736-7898
Phone (512) 654-4300

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034
  • Baylor Scott & White Medical Center- Austin Hospital, Austin, TX, CCN 670136
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue77
Removal of skin lesions1-10
Removal of nail tissue93
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1999TXMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic CurrentSince Jan 20, 2017 Accepting new patients
Scott & White Clinic CurrentSince Jan 20, 2017 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

5251 W Highway 290
Austin, TX 78735
Phone (512) 654-3000

2608 Brockton Dr
Austin, TX 78758
Phone (512) 654-4050

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

200 Medical Pkwy
Ste 130
Lakeway, TX 78738
Phone (512) 654-2300

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1689948879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PKWY",
            "address_2": "STE 130",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "78738",
            "telephone_number": "512-654-0103",
            "fax_number": "512-654-0114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2608 Brockton Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787584414",
            "country_code": "US",
            "telephone_number": "512-654-4053",
            "fax_number": "512-654-4051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5251 W US 290 Hwy Service Rd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78735",
            "country_code": "US",
            "telephone_number": "512-654-3000",
            "fax_number": "512-654-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRETT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-06",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1999",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsmithdo273621@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Medical Pkwy",
            "address_2": "Ste 130",
            "city": "Lakeway",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.