Individual provider Active NPI

Darey A Philbrick, M.D.

  • Orthopaedic Surgery Physician
  • Orting, WA
National Provider Identifier
1265494579
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J6662 Issued in TX
Practice address
1301 Orting-Kapowsin Hwy E
Orting, WA 98360
Phone
(360) 893-4515
Fax
(360) 893-4590
NPI assigned
Apr 3, 2006
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X J6662 TX Primary

Addresses

Primary practice location

1301 Orting-Kapowsin Hwy E
Orting, WA 98360

Mailing address

1301 Orting-Kapowsin Hwy E
Orting, WA 98360
Phone (360) 893-4515

Other identifiers 7

IdentifierTypeStateIssuer
127632105MedicaidTX
8X1180OtherTXBLUE CROSS BLUE SHIELD TX
3975330001OtherTXDEMERC REGION C PALMETO
0040AVOtherTXBLUE CROSS BLUE SHIELD TX
181622100OtherTXDEPT OF LABOR
119756OtherTXSUPERIOR HEALTH PLAN
3399136OtherTXBLUE LINK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Hyperbarics and Wound PastSince Mar 1, 2007 Accepting new patients
Central Texas Orthopedic Surgery,P.a. Orthopaedic Surgery PastSince Dec 31, 2003 Accepting new patients
Texas Non-Surgical Orthopedic & Pain Management Clinic Orthopaedic Surgery Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1265494579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 ORTING-KAPOWSIN HWY E",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "98360",
            "telephone_number": "360-893-4515",
            "fax_number": "360-893-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ORTING-KAPOWSIN HWY E",
            "city": "ORTING",
            "state": "WA",
            "postal_code": "98360",
            "telephone_number": "360-893-4515",
            "fax_number": "360-893-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBRICK",
        "first_name": "DAREY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J6662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127632105",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "8X1180",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC REGION C PALMETO",
            "identifier": "3975330001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TX",
            "identifier": "0040AV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "181622100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH PLAN",
            "identifier": "119756",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "3399136",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orting, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.