Individual provider Active NPI

Brian Jason Maclurg, M.D.

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1164580494
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00024469 Issued in WA
Practice address
1120 Cherry St
Suite 240
Seattle, WA 98104-2023
Phone
(206) 624-0296
Fax
(206) 624-0296
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00024469 WA Primary

Addresses

Primary practice location

1120 Cherry St
Suite 240
Seattle, WA 98104-2023

Mailing address

1120 Cherry St
Suite 240
Seattle, WA 98104-2023
Phone (206) 624-0296

Other identifiers 3

IdentifierTypeStateIssuer
1026178MedicaidWA
1813OtherWALABOR AND INDUSTRY
MD00024469OtherWAMEDICAL LICENSE

Other names 1

  • Dr. Jason Maclurg Other name

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1164580494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CHERRY ST",
            "address_2": "SUITE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042023",
            "telephone_number": "206-624-0296",
            "fax_number": "206-624-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CHERRY ST",
            "address_2": "SUITE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042023",
            "telephone_number": "206-624-0296",
            "fax_number": "206-624-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLURG",
        "first_name": "BRIAN",
        "middle_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00024469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026178",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "1813",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD00024469",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "MACLURG",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.