Individual provider Active NPI

Brenda L Newman, M.D., PH.D.

  • Dermatology Physician
  • Mercer Island, WA
National Provider Identifier
1124037817
Registry record updated Nov 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00046919 Issued in WA
Practice address
7707 SE 27TH St Ste 104
Mercer Island, WA 98040-2844
Phone
(206) 232-2267
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD00046919 WA Primary

Addresses

Primary practice location

7707 SE 27TH St Ste 104
Mercer Island, WA 98040-2844

Mailing address

7707 SE 27TH St Ste 104
Mercer Island, WA 98040-2844
Phone (206) 232-2267

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070829000522 WA Practitioner - Dermatology 9830282342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Oregon Health Sciences University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic PLLCGroup PAC ID 2860626207, 3 clinicians
Epiphany Dermatology of Washington PLLCGroup PAC ID 8224560776, 7 clinicians

Practice addresses (Care Compare)

7707 SE 27TH St
Suite 104
Mercer Island, WA 98040-2844
Phone (206) 232-2267

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision76
Removal of tissue1-10
Removal of skin lesions435
Removal or shaving of skin growth1-10
Skin biopsy369

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD00046919WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Washington PLLC Dermatology CurrentSince Oct 1, 2024 Accepting new patients

Locations

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

7300 Ranch Road 2222
Austin, TX 78730
Phone (512) 343-2837

7707 SE 27th St
Ste 104
Mercer Island, WA 98040
Phone (206) 232-2267

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543017600000",
    "number": "1124037817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 SE 27TH ST STE 104",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402844",
            "telephone_number": "206-232-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 SE 27TH ST STE 104",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402844",
            "telephone_number": "206-232-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "BRENDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00046919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.