BRENT WYATT BAKER PA-C
NPI 1770774648
Physician Assistant - Surgical in Red Oak, TX

Active since August 06, 2007PECOS EnrolledAccepts Medicare Assignment
104 PLAZA DR, RED OAK, TX 75154(469) 916-9750(469) 916-9782 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brent Wyatt Baker Pa-c NPPES

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

BRENT WYATT BAKER PA-C (NPI 1770774648) is an individual surgical provider in Red Oak, Texas, licensed in Texas (PA04634) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1770774648
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRENT WYATT BAKERCredential: PA-C
Location Address104 PLAZA DRRed Oak, TX 75154-3981
Mailing Address104 Plaza DrRed Oak, TX 75154-3981 · (469) 916-9750 · Fax (469) 916-9782
Fax(469) 916-9782
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 6, 2007
Last NPPES UpdateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
NPI 1770774648 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
License Licensed in TX · PA04634
104 PLAZA DR, Red Oak, TX 75154

Other Identifiers 1

Medicaid217344504TX

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

Brent Wyatt Baker 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 ID8022102300
PECOS Enrollment IDI20070918000005
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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
104 PLAZA DR
RED OAK, TX 75154
Nurse Practitioner (Family)
104 PLAZA DR
RED OAK, TX 75154
Nurse Practitioner (Family)
104 PLAZA DR
RED OAK, TX 75154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Baker's NPI number?

The NPI number for Brent Baker is 1770774648. It was assigned to this individual provider in the NPPES registry on August 6, 2007.

Where is Brent Baker located?

Brent Baker practices at 104 Plaza Dr, Red Oak, TX 75154. The listed phone number is (469) 916-9750.

What is Brent Baker's specialty?

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

Is Brent Baker enrolled in Medicare?

Yes. Brent Baker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brent Baker was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.