DANIEL BROCKSMITH PA-C
NPI 1114942554
Physician Assistant - Surgical in Tacoma, WA

Q: What is Daniel Brocksmith's NPI number?

The NPI number for Daniel Brocksmith is 1114942554. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Daniel Brocksmith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Brocksmith was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment

315 MARTIN LUTHER KING JR WAY, MS: 315-J1-TRM, TACOMA, WA 98405(253) 403-7537(253) 403-7539 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2020, Jan 14, 2020 (2 updates tracked since 2020).

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About Daniel Brocksmith Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL BROCKSMITH PA-C (NPI 1114942554) is an individual surgical provider in Tacoma, Washington, licensed in Washington (PA10004008) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1114942554

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameDANIEL BROCKSMITHCredential: PA-C

Location Address315 MARTIN LUTHER KING JR WAY, MS: 315-J1-TRMTacoma, WA 98405-4234

Mailing AddressPo Box 5299, Ms: 315-j1-rtmTacoma, WA 98415-0299 · (253) 403-7537 · Fax (253) 403-7539

Phone(253) 403-7537

Fax(253) 403-7539

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJuly 13, 2006

Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration

NPPES CertifiedOctober 9, 2020

✔ NPI 1114942554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in WA · PA10004008✔ Licensed in CA · 52770

315 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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Secondary Practice Location 1

Location 12823 Fresno StFresno, CA 93721-1324 · Phone (559) 459-3705 · Fax (559) 459-3720

Other Identifiers 4

Other8160BRWA · Regence Pin

Other191330WA · Dept Of L&i Pin

Other8939391WA · Crime Victims Comp Pin

Medicaid8408346WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Brocksmith Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123919057

PECOS Enrollment IDI20041026000666

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500129

Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN CHA-CHENG NG MD

Emergency Medicine