Active NPI
Brian James Nibler, PA-C
- Physician Assistant
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7794
- Practice address
- 800 W 5TH Ave
Spokane, WA 99204-2803 - Phone
- (509) 458-5800
- Fax
- (509) 473-4926
- NPI assigned
- Aug 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10003200 | WA | |
| Physician Assistant | 363A00000X | 7794 | AZ | Primary |
| Emergency Medicine Physician | 207P00000X | PA10003200 | WA |
Addresses
Primary practice location
800 W 5TH Ave
Spokane, WA 99204-2803
Mailing address
PO Box 34640
Seattle, WA 98124-1640
Phone (509) 458-5800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8325425 | Medicaid | WA | |
| 1285746446 | Medicaid | WA | |
| 1285746446 | Medicaid | MT |
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12606 E Mission Ave
Spokane Valley, WA 99216-3421
Phone (509) 473-5177
8202 N Division St
Spokane, WA 99208-5713
Phone (509) 473-3333
Hospital & facility affiliations
- Deaconess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10003200 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Emergency Physician Partners, PLLC | Emergency Medicine | Current | Accepting new patients |
| Spokane Washington Hospital Company LLC | Past | Accepting new patients | |
| Spokane Emergency Medicine Associates, PS | Emergency Medicine | Past | Accepting new patients |
Locations
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800
502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Spokane, WA
- NPI 1912564055
-
- Emergency Medicine Physician
- Renton, WA
- NPI 1861480840
-
- Emergency Medicine Physician
- Kennewick, WA
- NPI 1346586351
-
- Emergency Medicine Physician
- Spokane, WA
- NPI 1598162844
-
- Emergency Medicine Physician
- Spokane, WA
- NPI 1568628584
-
- Registered Dietitian
- Spokane, WA
- NPI 1053551127
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spokane, WA
- NPI 1356528269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1285746446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34640",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241640",
"telephone_number": "509-458-5800",
"fax_number": "509-473-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 5TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042803",
"telephone_number": "509-458-5800",
"fax_number": "509-473-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIBLER",
"first_name": "BRIAN",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10003200",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7794",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "PA10003200",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8325425",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285746446",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285746446",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.