Individual provider Active NPI

Brandon Thomas Lester, DC

  • Chiropractor
  • Port Orchard, WA
National Provider Identifier
1033657010
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60728284 Issued in WA
Practice address
1730 SE Mile Hill Dr
Port Orchard, WA 98366-3512
Phone
(360) 386-1144
Fax
(360) 300-2700
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60728284 WA Primary

Addresses

Primary practice location

1730 SE Mile Hill Dr
Port Orchard, WA 98366-3512

Mailing address

3119 Chive PL SE
Port Orchard, WA 98366-2321
Phone (360) 271-8534

Other practice location 1

1412 E Yelm Ave
Suite C101
Yelm, WA 98597-8663
Phone (360) 458-7533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180313001844 WA Practitioner - Chiropractic 3375805237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1180 Bethel Ave
Suite 110
Port Orchard, WA 98366-3303
Phone (360) 386-1144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Sport and Spine CurrentSince May 1, 2022 Accepting new patients

Locations

1180 Bethel Ave
Ste 110
Port Orchard, WA 98366
Phone (360) 386-1144

1730 SE Mile Hill Dr
Port Orchard, WA 98366
Phone (360) 386-1144

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1033657010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 CHIVE PL SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662321",
            "telephone_number": "360-271-8534",
            "fax_number": "360-300-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SE MILE HILL DR",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663512",
            "telephone_number": "360-386-1144",
            "fax_number": "360-300-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 E Yelm Ave",
            "address_2": "Suite C101",
            "address_purpose": "LOCATION",
            "city": "Yelm",
            "state": "WA",
            "postal_code": "985978663",
            "country_code": "US",
            "telephone_number": "360-458-7533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESTER",
        "first_name": "BRANDON",
        "middle_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2022-08-08",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60728284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.