BRIAN R MARTIN PA-C NPI 1538101274

NPI Information

  • NPI: 1538101274
  • Provider Name: BRIAN R MARTIN, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 36065 SANTE FE DR
    CRDAMC
    FORT HOOD, TX
    ZIP 76544
  • Phone: (254) 288-8050

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NPI Details

Brian R Martin, PA-C is a surgical physician assistant in Fort Hood, TX. Brian R Martin, PA-C NPI is 1538101274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

36065 SANTE FE DR
CRDAMC
FORT HOOD, TX
ZIP 76544
Phone: (254) 288-8050

The NPI 1538101274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 10/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA13195TEXASYes
2363AS0400XPhysician AssistantSurgicalPA00852OREGONNo
3363A00000XPhysician AssistantPA420IDAHONo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1806490700MEDICAIDOREGON
21801074190OTHERSETON WILLIAMSON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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