Individual provider Active NPI

Bret Alan Baker, PA

  • Medical Physician Assistant
  • Odessa, TX
National Provider Identifier
1912909789
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03994 Issued in TX
Practice address
4222 Wendover Ave
Suite 600
Odessa, TX 79762-5945
Phone
(432) 552-5656
Fax
(432) 552-0992
NPI assigned
Aug 11, 2005
Last updated
May 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA03994 TX Primary

Addresses

Primary practice location

4222 Wendover Ave
Suite 600
Odessa, TX 79762-5945

Mailing address

4222 Wendover Ave
Suite 600
Odessa, TX 79762-5945
Phone (432) 552-5656

Other identifiers 1

IdentifierTypeStateIssuer
PA03994OtherTXTX LICENSE NUMBER

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
I20050122000036 TX Practitioner - Physician Assistant 7911956404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Texas Tech University Health Science Center School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Physicians, PLLCGroup PAC ID 7214963958, 16 clinicians

Practice addresses (Care Compare)

4222 Wendover Ave
Suite 600
Odessa, TX 79762-5983
Phone (432) 522-5656

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA03994TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services, P.a. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bret.baker.1@10019.direct.athenahealth.com

Organizations & group practices 2

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 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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1912909789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 WENDOVER AVE",
            "address_2": "SUITE 600",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625945",
            "telephone_number": "432-552-5656",
            "fax_number": "432-552-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 WENDOVER AVE",
            "address_2": "SUITE 600",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797625945",
            "telephone_number": "432-552-5656",
            "fax_number": "432-552-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "BRET",
        "middle_name": "ALAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE NUMBER",
            "identifier": "PA03994",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.