Individual provider Active NPI

Brian Sung, M.D.

  • Surgery Physician
  • Seattle, WA
National Provider Identifier
1346482932
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
60372054 Issued in WA
Practice address
801 Broadway
Suite 800
Seattle, WA 98122-4396
Phone
(206) 215-2090
Fax
(206) 215-3099
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 60372054 WA Primary

Addresses

Primary practice location

801 Broadway
Suite 800
Seattle, WA 98122-4396

Mailing address

801 Broadway
Suite 800
Seattle, WA 98122-4396
Phone (206) 215-2090

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bsung1043361@wm.providencedirect.org
Direct Messaging Address bsung1043361@wm.providencedirect.org

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130806000535 WA Practitioner - General Surgery 9739235490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Boston University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Newvue Plastic Surgery PCGroup PAC ID 3779642400, 4 clinicians

Practice addresses (Care Compare)

10047 Main St
Suite 103
Bellevue, WA 98004-5322
Phone (425) 463-9883

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60372054WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton Surgery CurrentSince Mar 1, 2020 Accepting new patients
Newvue Plastic Surgery PC CurrentSince Jul 1, 2021 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

10047 Main St
Ste 103
Bellevue, WA 98004
Phone (425) 463-9883

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

13114 120th Ave NE
Kirkland, WA 98034
Phone (425) 821-6000

4011 Talbot Rd S
Ste 500
Renton, WA 98055
Phone (425) 251-5110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJHGBA
  • Direct secure messaging: bsung1043361@wm.providencedirect.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJHGBA/Endpoint/JJHGBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1346482932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROADWAY",
            "address_2": "SUITE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224396",
            "telephone_number": "206-215-2090",
            "fax_number": "206-215-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY",
            "address_2": "SUITE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224396",
            "telephone_number": "206-215-2090",
            "fax_number": "206-215-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNG",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "60372054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsung1043361@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "1124 Columbia St Ste 400",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981042053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bsung1043361@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "751 NE Blakely Dr Ste 4560",
            "city": "Issaquah",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980296201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.