NPIMap

Individual provider Active NPI

Brendan A Mielke, MD

  • Nephrology Physician
  • Coeur d'Alene, ID
National Provider Identifier
1265425532
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD00040221 Issued in WA
Practice address
700 W Ironwood Dr Ste 375
Coeur D Alene, ID 83814-4401
Phone
(208) 625-6100
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M-8328 ID
Nephrology Physician 207RN0300X MD00040221 WA Primary

Addresses

Primary practice location

700 W Ironwood Dr Ste 375
Coeur D Alene, ID 83814-4401

Mailing address

PO Box 3649
Spokane, WA 99220-3649

Other practice location 1

610 S Sherman St
Suite 201
Spokane, WA 99202-1359
Phone (509) 838-2531

Other identifiers 1

IdentifierTypeStateIssuer
8281941MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmielke350958@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000928 ID Practitioner - NephrologyPractitioner - Internal Medicine 2769462688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

1055 Riverside Ave
Orofino, ID 83544-9029
Phone (208) 476-5777

1300 E Mullan Ave
Suite 1300
Post Falls, ID 83854-6057
Phone (208) 625-5630

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

2100 Ironwood CT
Coeur D Alene, ID 83814-2698
Phone (208) 625-6100

2120 W Ironwood Dr
Coeur D Alene, ID 83814-2698
Phone (208) 625-6939

423 N 3Rd Ave
Suite 355
Sandpoint, ID 83864-1511
Phone (208) 263-2505

600 N Cecil Rd
Post Falls, ID 83854-6200
Phone (208) 262-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-8328IDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Kootenai Health, Inc. CurrentSince May 1, 2017 Accepting new patients
Dallas Nephrology Associates Nephrology PastSince Nov 22, 2016 Accepting new patients
Dallas Nephrology Associates Past Accepting new patients

Locations

700 W Ironwood Dr
Ste 375
Coeur D Alene, ID 83814
Phone (208) 625-5085

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

2100 Ironwood Ct
Ste A
Coeur D Alene, ID 83814
Phone (208) 664-3064

700 W Ironwood Dr
Ste 334
Coeur D Alene, ID 83814
Phone (208) 664-3604

723 S Main St
Moscow, ID 83843
Phone (208) 882-1817

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

423 N Third Ave
Ste 355
Sandpoint, ID 83864
Phone (208) 263-2505

1210 Washington Ave
Sandpoint, ID 83864
Phone (208) 263-4488

1119 Highland Ave
Ste 4
Clarkston, WA 99403
Phone (509) 254-0080

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1265425532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3649",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992203649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 375",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144401",
            "telephone_number": "208-625-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S Sherman St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021359",
            "country_code": "US",
            "telephone_number": "509-838-2531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "BRENDAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ID",
            "license": "M-8328",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD00040221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8281941",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmielke350958@direct.multicare.org",
            "affiliation": "N",
            "address_1": "700 W Ironwood Dr Ste 375",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838144401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.