Individual provider Active NPI

Brendan John Baird, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1902231335
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09133 Issued in TX
Practice address
1400 8TH Ave
Emergency Department
Fort Worth, TX 76104-4110
Phone
(817) 922-7079
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09133 TX Primary

Addresses

Primary practice location

1400 8TH Ave
Emergency Department
Fort Worth, TX 76104-4110

Mailing address

PO Box 841656
Dallas, TX 75284-1656
Phone (903) 531-5000

Other practice location 1

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-4262

Other practice location 2

1509 S Palenstin St
Athens, TX 75751
Phone (903) 606-4262

Other practice location 3

3203 S Main St
Lindale, TX 75771-7727
Phone (903) 266-4000

Other practice location 4

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-5768

Other practice location 5

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Other practice location 6

18780 Interstate 20
Canton, TX 75103
Phone (903) 567-4841

Other practice location 7

2201 N Central Expy Ste 125
Richardson, TX 75080-2701
Phone (214) 377-1790

Other identifiers 1

IdentifierTypeStateIssuer
PA09133OtherTXTEXAS MEDICAL BOARD

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140620000908 TX Practitioner - Physician Assistant 6204066996 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2303OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jul 17, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 17, 2023 Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Jul 17, 2023 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Locations

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1902231335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 841656",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752841656",
            "telephone_number": "903-531-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-922-7079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-4262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 S PALENSTIN ST",
            "address_purpose": "LOCATION",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "75751",
            "country_code": "US",
            "telephone_number": "903-606-4262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3203 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757717727",
            "country_code": "US",
            "telephone_number": "903-266-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-586-5768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-885-7671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18780 INTERSTATE 20",
            "address_purpose": "LOCATION",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "country_code": "US",
            "telephone_number": "903-567-4841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 N Central Expy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750802701",
            "country_code": "US",
            "telephone_number": "214-377-1790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIRD",
        "first_name": "BRENDAN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "PA09133",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.