Individual provider Active NPI

M Brandon Phipps, PA-C

  • Physician Assistant
  • Clarendon, TX
National Provider Identifier
1891191045
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6731678-1206 Issued in UT
Practice address
PO Box K
Clarendon, TX 79226-0300
Phone
(806) 874-3531
Fax
(806) 874-2244
NPI assigned
Nov 17, 2014
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 6731678-1206 UT
Medical Physician Assistant 363AM0700X PA09487 TX
Physician Assistant 363A00000X 6731678-1206 UT Primary

Addresses

Primary practice location

PO Box K
Clarendon, TX 79226-0300

Mailing address

PO Box K
Clarendon, TX 79226-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID, NV, TX, MD5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20150930000501 UT Practitioner - Physician Assistant 6709194418 Reassigns benefits to 1 organization
I20210617001293 ID Practitioner - Physician Assistant 6709194418 Reassigns benefits to 1 organization
I20230111002152 NV Practitioner - Physician Assistant 6709194418 Reassigns benefits to 1 organization
I20260316000197 TX Practitioner - Physician Assistant 6709194418 Reassigns benefits to 1 organization
I20260424001289 MD Practitioner - Physician Assistant 6709194418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Regional Hospitalists LLCGroup PAC ID 4789807165, 119 clinicians
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

100 Brown St
Chestertown, MD 21620-1435
Phone (410) 778-3300

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 535-8344

11925 S State St
Draper, UT 84020-7735
Phone (801) 783-5011

1200 E 3900
Salt Lake City, UT 84124-1300
Phone (801) 783-5011

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000

219 S Washington St
Easton, MD 21601-2913
Phone (410) 822-1000

3100 Channing Way
Idaho Falls, ID 83404-7533
Phone (208) 529-6111

3460 S Pioneer Pkwy
West Valley, UT 84120-2049
Phone (801) 783-5011

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 783-5011

8074 S 1300
Sandy, UT 84094-0743
Phone (801) 561-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6731678-1206UTMDHospitalist Physician
PA09487TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Texas, PLLC CurrentSince Jan 5, 2026 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Jul 15, 2015 Accepting new patients

Locations

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

1000 E 100 N
Payson, UT 84651
Phone (801) 465-7000

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1891191045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX K",
            "city": "CLARENDON",
            "state": "TX",
            "postal_code": "792260300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX K",
            "city": "CLARENDON",
            "state": "TX",
            "postal_code": "792260300",
            "telephone_number": "806-874-3531",
            "fax_number": "806-874-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "M",
        "middle_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "UT",
            "license": "6731678-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA09487",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6731678-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon, TX

Sources for this page

Verify at the official NPI Registry.