Michael Brockway

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

PS 00000189 Issued in WA

Practice address

313 S 9TH Ave
Yakima, WA 98902-3516

Phone

(509) 248-8040

Fax

(509) 248-8709

NPI assigned

Jul 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1336339365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S 9TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023516",
            "telephone_number": "509-248-8040",
            "fax_number": "509-248-8709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S 9TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023516",
            "telephone_number": "509-248-8040",
            "fax_number": "509-248-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKWAY",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI 00000188",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS 00000189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8418956",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9045675",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lililia Brito Castaneda
• Laura L Brito
• Tanya D Britt
• Jennifer Lynn Britten, PHARMD
• Timothy A Britz Jr., LMP
• Seth Brody, LBA
• Brookdale Senior Living Communities, Inc. (Wynwood of Yakima)
• Ashlie Danielle Brooks
• Zachary Sean Brower
• Aaron Thomas Brown

• Prosthetist in Yakima, WA
• Providers in Yakima, WA by specialty
• Prosthetist in Washington

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