Active NPI
M Brandon Phipps, PA-C
- Physician Assistant
- Clarendon, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6731678-1206
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6731678-1206 | UT | MD | Hospitalist Physician |
| PA09487 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usacs Integrated Acute Care Services of Texas, PLLC | Current | Accepting new patients | |
| Utah Regional Hospitalists LLC | Hospitalist | Current | 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.
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
-
- Hospitalist Physician
- Murray, UT
- NPI 1962821223
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
MD
-
dba Lake Tahoe Regional Hospitalists
- Hospitalist Physician
- Carson City, NV
- NPI 1063608701
-
dba Utah Regional Hospitalists
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
-
dba Holy Cross Hospital - Jordan Valley
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
-
dba Lone Peak Hospital
- General Acute Care Hospital
- Draper, UT
- NPI 1770821571
-
dba UM Shore Medical Center at Dorchester
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
dba UM Shore Medical Center at Easton
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
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
- Marvin Gill & Assoc (Med Link Services)
- Marvin Gill & Associates Inc. (Med Link Services)
- Michael H Butts (Mikes Gibson Pharmacy)
- Michael Morency
- Misty Nobles, PA-C
- Devah Nikole Pittman, PA-C
- Richard Alva Sheppard, DDS
- Kelly Smith
- Sue D. Rhinehart (Rhinehart Family Eldercare)
- Judith Lynn Thomas, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.