Individual provider Active NPI

James Vincent Brasch, M.D.

  • Obstetrics Physician
  • Spokane, WA
National Provider Identifier
1326154881
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
00025359 Issued in WA
Practice address
212 E Central Ave Ste 340
Spokane, WA 99208-6289
Phone
(509) 484-1236
Fax
(509) 484-2012
NPI assigned
Aug 21, 2006
Last updated
Jul 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 00025359 WA Primary

Addresses

Primary practice location

212 E Central Ave Ste 340
Spokane, WA 99208-6289

Mailing address

212 E Central Ave Ste 340
Spokane, WA 99208-6289
Phone (509) 484-1236

Other identifiers 1

IdentifierTypeStateIssuer
1039973MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00025359WAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates for Women's Health Single Specialty Past Accepting new patients

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1326154881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E CENTRAL AVE STE 340",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086289",
            "telephone_number": "509-484-1236",
            "fax_number": "509-484-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E CENTRAL AVE STE 340",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086289",
            "telephone_number": "509-484-1236",
            "fax_number": "509-484-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASCH",
        "first_name": "JAMES",
        "middle_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "WA",
            "license": "00025359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039973",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.