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

Mr. Brock Lewis Smith, PA-C

Individual provider Surgical Physician Assistant · NPI 1669460986

Mr. Brock Lewis Smith, PA-C is a Physician Assistant in Clearwater, Florida. Qualified in 1999, 27 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
27
Licensed in
FL, TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3251 N McMullen Booth Rd Ste 301
Clearwater, FL 33761-2022
Phone: (727) 669-5300
Fax: (727) 669-5366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8801 N Tarrant Pkwy, North Richland Hills, TX 76182-8461 — (817) 616-0700

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA9117281 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA02632 (TX)

Record details

NPI number1669460986
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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