Active NPI
Brandon Bruce Mascott, PA
- Physician Assistant
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 16811 SE McGillivray Blvd # 101
Vancouver, WA 98683-3404 - Phone
- (360) 735-8100
- NPI assigned
- May 1, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
16811 SE McGillivray Blvd # 101
Vancouver, WA 98683-3404
Mailing address
16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150722004235 | WA | Practitioner - Physician Assistant | 6608189436 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Peacehealth
Practice addresses (Care Compare)
16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100
505 NE 87TH Ave
Vancouver, WA 98664-1965
Hospital & facility affiliations
- Peacehealth Southwest Home Health
- Peacehealth Southwest Medical Cente
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Southwest Washington Medical Center | Past | Accepting new patients |
Locations
16811 SE McGillivray Blvd
Vancouver, WA 98683
Phone (360) 514-4900
16811 SE McGillivray Blvd
#101
Vancouver, WA 98683
Phone (360) 735-8100
1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100
505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854
9330 NE Vancouver Mall Dr
Ste 100
Vancouver, WA 98662
Phone (360) 729-8510
Interoperability endpoints
- bmascott119785@direct.peacehealth.org
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Vancouver, WA
- NPI 1992182380
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1891785903
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1275910929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16811 SE MCGILLIVRAY BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986833404",
"telephone_number": "360-735-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16811 SE MCGILLIVRAY BLVD # 101",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986833404",
"telephone_number": "360-735-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASCOTT",
"first_name": "BRANDON",
"middle_name": "BRUCE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-01",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.