Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooke Smith

Individual provider Physician Assistant · NPI 1043955107

Brooke Smith is a Physician Assistant in Newburgh, Indiana. Qualified in 2022, 4 years ago. Practices with Deaconess Specialty Physicians, Inc, a 229-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4007 Gateway Blvd Ste 100
Newburgh, IN 47630-8947
Phone: (812) 842-0907
Fax: (812) 490-7051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10006352A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1043955107
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2022
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing addressPo Box 1230, Evansville, IN 47706-1230

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Deaconess Specialty Physicians, Inc — 229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Newburgh