Organization Active NPI

Cogent Brain, PS

  • Multi-Specialty Clinic/Center
  • Tukwila, WA
National Provider Identifier
1043965999
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
COGENT BRAIN, PS
Doing business as
TBI Diagnostic Center
Practice address
7200 S 180TH St Ste 101
Tukwila, WA 98188-5548
Phone
(206) 429-5260
NPI assigned
Feb 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Dr. Michael Wilchie Chan, DC
Title
President
Phone
(206) 429-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

7200 S 180TH St Ste 101
Tukwila, WA 98188-5548

Mailing address

PO Box 40256
Bellevue, WA 98015-4256

Other names 1

  • TBI Diagnostic Center Doing business as

National Provider Directory

National Provider Directory

Locations

7200 S 180th St
Ste 101
Tukwila, WA 98188
Phone (206) 429-5260

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1043965999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40256",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980154256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 S 180TH ST STE 101",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981885548",
            "telephone_number": "206-429-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGENT BRAIN, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILCHIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-429-5260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TBI Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.