Active NPI
William W Brand, MD
- Internal Medicine Physician
- Tacoma, WA
National Provider Identifier
1093744716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00016364
- Practice address
- 1708 Yakima Ave
Ste 110
Tacoma, WA 98405-5307 - Phone
- (253) 627-9151
- Fax
- (253) 591-8892
- NPI assigned
- Jul 3, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00016364 | WA | Primary |
Addresses
Primary practice location
1708 Yakima Ave
Ste 110
Tacoma, WA 98405-5307
Mailing address
1708 Yakima Ave
Ste 110
Tacoma, WA 98405-5307
Phone (253) 627-9151
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8930010 | Other | WA | STATE CRIME VICTIMS |
| 8121006 | Medicaid | WA | |
| 0126513 | Other | WA | STATE L&I |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1093744716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "STE 110",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-627-9151",
"fax_number": "253-591-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 YAKIMA AVE",
"address_2": "STE 110",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055307",
"telephone_number": "253-627-9151",
"fax_number": "253-591-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAND",
"first_name": "WILLIAM",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00016364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CRIME VICTIMS",
"identifier": "8930010",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8121006",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0126513",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.