Active NPI
Brian William Lane, M.D.
- Emergency Medicine Physician
- Prineville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD19148
- Practice address
- 1201 N Elm
Prineville, OR 97754 - Phone
- (541) 447-6254
- NPI assigned
- Jun 26, 2006
- Last updated
- May 19, 2008
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD19148 | OR | Primary |
Addresses
Primary practice location
1201 N Elm
Prineville, OR 97754
Mailing address
11436 Brian LN NE
Poulsbo, WA 98370-7919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8385643 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Creighton University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (360) 337-8800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.1 of 100
- Quality
- 72.48
- Improvement activities
- 40
- Cost
- 80.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19148 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Sound Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
Locations
2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911
1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Silverdale, WA
- NPI 1568489243
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Michael Medical Center
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1073540118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11436 BRIAN LN NE",
"city": "POULSBO",
"state": "WA",
"postal_code": "983707919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N ELM",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "97754",
"telephone_number": "541-447-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "BRIAN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "MD19148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8385643",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prineville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.