Organization Active NPI

Integra Health and Wellness PLLC

  • Internal Medicine Physician
  • Spokane Valley, WA
National Provider Identifier
1215718457
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTEGRA HEALTH AND WELLNESS PLLC
Practice address
16201 E Indiana Ave Ste 2260
Spokane Valley, WA 99216-2838
Phone
(509) 970-5750
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Pushapdeep Brar, MDNPI 1699097279
Title
Owner
Phone
(550) 997-0575

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

16201 E Indiana Ave Ste 2260
Spokane Valley, WA 99216-2838

Mailing address

17820 E Galaxy CT
Greenacres, WA 99016-7792
Phone (509) 970-5750

National Provider Directory

National Provider Directory

Locations

16201 E Indiana Ave
Ste 2260
Spokane Valley, WA 99216
Phone (509) 970-5750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1215718457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 E GALAXY CT",
            "city": "GREENACRES",
            "state": "WA",
            "postal_code": "990167792",
            "telephone_number": "509-970-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 E INDIANA AVE STE 2260",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992162838",
            "telephone_number": "509-970-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "PUSHAPDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "550-997-0575",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.