Brautigam & Schnibbe O DS P S

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00000930 Issued in WA

Legal business name

BRAUTIGAM & SCHNIBBE O DS P S

Practice address

12121 E Broadway Ave Ste 1
Spokane Valley, WA 99206-4972

Phone

(509) 928-1212

Fax

(509) 924-5035

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard G. Brautigam, O.D., P.S.NPI 1467428458

Title

Owner Optometrist

Phone

(509) 928-1212

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• BROADWAY EYECARE CENTER Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard G Brautigam, OD

  • Optometrist
  • Spokane Valley, WA
  • NPI 1467428458
  NPD (past) Authorized official
• Brian Charles Oulman, O.D.

  • Optometrist
  • Redmond, OR
  • NPI 1699937813
  NPD
• Christina Vogel, O.D.

  • Optometrist
  • Sacramento, CA
  • NPI 1013911866
  NPD
• Melissa Barnhart, O.D.

  • Optometrist
  • Spokane, WA
  • NPI 1952613234
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1194864868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 E BROADWAY AVE STE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064972",
            "telephone_number": "509-928-1212",
            "fax_number": "509-924-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 E BROADWAY AVE STE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064972",
            "telephone_number": "509-928-1212",
            "fax_number": "509-924-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAUTIGAM & SCHNIBBE O DS P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "BRAUTIGAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "509-928-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., P.S."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00000930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP",
            "identifier": "DG8772",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - DALE SCHNIBBE",
            "identifier": "1003882226",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- RICHARD G. BRAUTIGAM",
            "identifier": "1467428458",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410006929",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DG8772",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROADWAY EYECARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamera Bradford, CG 61683260
• Rachelle Bragg
• Melissa Braid, DO
• Jessica Leigh Brandt, LMP
• Elizabeth M Bratcher, P.T.
• Richard G Brautigam, OD
• Cameron Bray
• Carlene Rae Bray, MS CCC-SLP
• Angela Kay Brayton/, PTA
• Breakthrough Recovery Group, Inc.

• Optometrist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.