Individual provider Active NPI

Alan Burchard Brown, MD

  • Orthopaedic Surgery of the Spine Physician
  • Bellevue, WA
National Provider Identifier
1144228750
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
MD00027055 Issued in WA
Practice address
1427 116TH Ave NE
Bellevue, WA 98004-3807
Phone
(425) 462-9800
Fax
(425) 454-9143
NPI assigned
Jul 8, 2005
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X MD00027055 WA Primary

Addresses

Primary practice location

1427 116TH Ave NE
Bellevue, WA 98004-3807

Mailing address

PO Box 5845
Portland, OR 97228-5845
Phone (425) 462-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050404000718 OR Practitioner - Orthopedic Surgery 6507815594 Reassigns benefits to 1 organization
I20061129000027 WA Practitioner - Orthopedic Surgery 6507815594

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00027055WAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 1, 2019 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Oct 1, 2019 Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Eastside Orthopedics & Sports Past Accepting new patients
Overlake Internal Medicine Laboratory PastSince Jul 25, 2019 Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients

Locations

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1100 3rd St
Tillamook, OR 97141
Phone (503) 815-2116

Interoperability endpoints

  • Direct secure messaging: alan.brown@1457.chartlogic.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1144228750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5845",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972285845",
            "telephone_number": "425-462-9800",
            "fax_number": "425-454-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043807",
            "telephone_number": "425-462-9800",
            "fax_number": "425-454-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ALAN",
        "middle_name": "BURCHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WA",
            "license": "MD00027055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.