Brandon Penix, D.O.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

OP61115065 Issued in WA

Practice address

821 E Broadway Ave Ste 1
Moses Lake, WA 98837-5934

Phone

(509) 350-4785

Fax

(509) 380-9591

NPI assigned

Jun 15, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EHJGAA
• FHIR API: https://api.platform.athenahealth.com/2340/brand/1/csg/1/fhir/r4

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.

• Northwest Medical Group PLLC

  • Occupational Medicine Physician
  • Moses Lake, WA
  • NPI 1154006492

  Public Health & General Preventive Medicine

  NPD Authorized official
• Grant County Public Hospital District 1

  dba Samaritan Clinic

  • Rural Health Clinic/Center
  • Moses Lake, WA
  • NPI 1619086766
  NPD (past)

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1164784088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E BROADWAY AVE STE 1",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375934",
            "telephone_number": "509-350-4785",
            "fax_number": "509-380-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E BROADWAY AVE STE 1",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988375934",
            "telephone_number": "509-350-4785",
            "fax_number": "509-380-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENIX",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "WA",
            "license": "OP61115065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES PROVIDER NUMBER",
            "identifier": "460177",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick J. Hickman D.C.P.S. (Hickman Chiropractic and Wellness Clinic)
• Leonardo Paxtian-Ramirez, BA
• Adrianne Payne, RN
• Jennifer Pearson, FNP-C
• Carolyn Pence, CDPT
• Juan Peralez, MED
• Karissa Peralez, BS
• Ismael Eliah Perez
• Paige Perkins
• Sangeeta Anjali Persad, MD

• Public Health & General Preventive Medicine Physician in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Public Health & General Preventive Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.