Active NPI
Darey A Philbrick, M.D.
- Orthopaedic Surgery Physician
- Orting, WA
National Provider Identifier
1265494579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- J6662
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127632105 | Medicaid | TX | |
| 8X1180 | Other | TX | BLUE CROSS BLUE SHIELD TX |
| 3975330001 | Other | TX | DEMERC REGION C PALMETO |
| 0040AV | Other | TX | BLUE CROSS BLUE SHIELD TX |
| 181622100 | Other | TX | DEPT OF LABOR |
| 119756 | Other | TX | SUPERIOR HEALTH PLAN |
| 3399136 | Other | TX | BLUE 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.
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Texas Hyperbarics and Wound | Past | Accepting new patients | |
| Central Texas Orthopedic Surgery,P.a. | Orthopaedic Surgery | Past | 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.
-
- Specialist
- Brownwood, TX
- NPI 1245372903
-
- Orthopaedic Surgery Physician
- Brownwood, TX
- NPI 1619078920
-
- Orthopaedic Surgery Physician
- Brownwood, TX
- NPI 1902186422
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.