Active NPI
Northwest Medical Group PLLC
- Occupational Medicine Physician
- Moses Lake, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- Legal business name
- NORTHWEST MEDICAL GROUP PLLC
- Practice address
- 938 W 3Rd Ave
Moses Lake, WA 98837-2011 - Phone
- (509) 350-4785
- Fax
- (509) 380-9591
- NPI assigned
- Jun 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brandon Penix, DO, MPH
- Title
- Owner
- Phone
- (509) 350-4785
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Registered Nurse | 163WX0106X | |||
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | |||
| Occupational Medicine Physician | 2083X0100X | Primary | ||
| Physical Therapist | 225100000X | |||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
938 W 3Rd Ave
Moses Lake, WA 98837-2011
Mailing address
938 W 3Rd Ave
Moses Lake, WA 98837-2011
Phone (509) 350-4785
Other practice location 1
1240 S Pioneer Way Ste A
Moses Lake, WA 98837-2347
Phone (509) 350-4785
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0471864 | Other | WA | LABOR AND INDUSTRIES |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2273497 | Northwest Medical Group PLLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
938 W 3rd Ave
Moses Lake, WA 98837
Phone (509) 350-4785
821 E Broadway Ave
Ste 1
Moses Lake, WA 98837
Phone (509) 350-4785
1240 S Pioneer Way
#A
Moses Lake, WA 98837
Phone (509) 350-4785
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHJGAA
- https://api.platform.athenahealth.com/2340/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Public Health & General Preventive Medicine Physician
- Moses Lake, WA
- NPI 1164784088
-
- Nurse Practitioner
- Traverse City, MI
- NPI 1316546450
-
- Occupational Health Registered Nurse
- Moses Lake, WA
- NPI 1952140584
-
- Massage Therapist
- Moses Lake, WA
- NPI 1033721634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735516800000",
"number": "1154006492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "938 W 3RD AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988372011",
"telephone_number": "509-350-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 W 3RD AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988372011",
"telephone_number": "509-350-4785",
"fax_number": "509-380-9591"
}
],
"practiceLocations": [
{
"address_1": "1240 S Pioneer Way Ste A",
"address_purpose": "LOCATION",
"city": "Moses Lake",
"state": "WA",
"postal_code": "988372347",
"country_code": "US",
"telephone_number": "509-350-4785",
"fax_number": "509-380-9591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NORTHWEST MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-15",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "PENIX",
"authorized_official_first_name": "BRANDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-350-4785",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO, MPH"
},
"taxonomies": [
{
"code": "163WX0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Occupational Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Occupational Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0471864",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.