Active NPI
Robert E, Braswell, D.C.
- Chiropractor
- Vancouver, WA
National Provider Identifier
1346269727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002801
- Practice address
- 916 SE 164TH Ave Ste 200
Vancouver, WA 98683-9602 - Phone
- (360) 253-9482
- NPI assigned
- Jul 18, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00002801 | WA | Primary |
Addresses
Primary practice location
916 SE 164TH Ave Ste 200
Vancouver, WA 98683-9602
Mailing address
PO Box 873546
Vancouver, WA 98687-3546
Phone (360) 253-9482
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133632 | Other | WA | L&I |
| 602-009-365 | Other | WA | UBI |
| 912012316 | Other | WA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
916 SE 164TH Ave
Suite 200
Vancouver, WA 98683-9602
Phone (360) 253-9482
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025202 | WA | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fishers Landing Chiropractic Clinic | Chiropractor | Current | Accepting new patients |
Locations
916 SE 164th Ave
Ste 200
Vancouver, WA 98683
Phone (360) 253-9482
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 and National Provider Directory roles.
-
- Chiropractor
- Vancouver, WA
- NPI 1720251994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346269727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 873546",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986873546",
"telephone_number": "360-253-9482",
"fax_number": "360-253-5366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 SE 164TH AVE STE 200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839602",
"telephone_number": "360-253-9482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASWELL",
"first_name": "ROBERT",
"middle_name": "E,",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002801",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0133632",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI",
"identifier": "602-009-365",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "912012316",
"state": "WA"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.