Active NPI
Brandon Thomas Lester, DC
- Chiropractor
- Port Orchard, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60728284
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Sport and Spine | Current | 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.
-
- Sports Physician Chiropractor
- Port Orchard, WA
- NPI 1376276014
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.