Individual provider Active NPI

Brook Ashcraft

  • Family Medicine Physician
  • Anacortes, WA
National Provider Identifier
1215461967
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61090161 Issued in WA
Practice address
8212 S March Point Rd
Anacortes, WA 98221-8684
Phone
(360) 588-2800
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP61090161 WA Primary

Addresses

Primary practice location

8212 S March Point Rd
Anacortes, WA 98221-8684

Mailing address

2116 E Section St
Mount Vernon, WA 98274-9124
Phone (360) 428-1700

Other practice location 1

800 E Chestnut St
Bellingham, WA 98225-5241
Phone (360) 424-4111

Other practice location 2

17337 Reservation Rd
LA Conner, WA 98257-8802
Phone (360) 466-1024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241011000075 TX Practitioner - Family Practice 2567716129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swinomish Health ServicesGroup PAC ID 2961821863, 15 clinicians

Practice addresses (Care Compare)

8212 S March Point Rd
Anacortes, WA 98221-8684
Phone (360) 588-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP61090161WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swinomish Health Services CurrentSince Jul 19, 2024 Accepting new patients
Swinomish Health Services CurrentSince Jul 19, 2024 Accepting new patients

Locations

8212 S March Point Rd
Anacortes, WA 98221
Phone (360) 588-2800

17337 Reservation Rd
La Conner, WA 98257
Phone (360) 466-1024

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1215461967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 E SECTION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982749124",
            "telephone_number": "360-428-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 S MARCH POINT RD",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218684",
            "telephone_number": "360-588-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982255241",
            "country_code": "US",
            "telephone_number": "360-424-4111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17337 Reservation Rd",
            "address_purpose": "LOCATION",
            "city": "LA Conner",
            "state": "WA",
            "postal_code": "982578802",
            "country_code": "US",
            "telephone_number": "360-466-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHCRAFT",
        "first_name": "BROOK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61090161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.