Active NPI
Brian Lewis Rowland Klump, EAMP
- Acupuncturist
- Vancouver, WA
National Provider Identifier
1083991343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 60248808
- Practice address
- 16505 SE 1St St Ste H
Vancouver, WA 98684-9586 - Phone
- (360) 326-8306
- Fax
- (360) 433-0748
- NPI assigned
- Nov 14, 2011
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 60248808 | WA | Primary |
Addresses
Primary practice location
16505 SE 1St St Ste H
Vancouver, WA 98684-9586
Mailing address
7210 NE 217TH Ave
Vancouver, WA 98682-9063
Phone (360) 607-0726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 60248808 | WA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Vancouver Acupuncture, PLLC | Acupuncturist | Past | Accepting new patients |
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.
-
- Acupuncturist
- Vancouver, WA
- NPI 1669810875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1083991343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 NE 217TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986829063",
"telephone_number": "360-607-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16505 SE 1ST ST STE H",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986849586",
"telephone_number": "360-326-8306",
"fax_number": "360-433-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUMP",
"first_name": "BRIAN",
"middle_name": "LEWIS ROWLAND",
"name_prefix": "Mr.",
"credential": "EAMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-14",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC 60248808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.